Nucleic acid amplification primers for detecting cytokeratins and examination method with the use of the primers

ABSTRACT

It is intended to provide novel primers to be used in gene amplification reactions for detecting human cytokeratins (Human CK). A primer containing an oligonucleotide comprising a base sequence which is selected from among the the 270- to 1375-th regions of the base sequence represented by SEQ ID NO:1 and the regions of complementary strands thereof and represented by, for example, any of SEQ ID NOS:2 to 341 is constructed. Further, a primer containing an oligonucleotide comprising a base sequence which is selected from among the 270- to 930-th regions of the base sequence represented by SEQ ID NO:342 and the regions of complementary strands thereof and represented by, for example, any of SEQ ID NOS:343 to 434 is constructed. Furthermore, a primer containing an oligonucleotide comprising a base sequence which is selected from among the 340 to 490-th regions or the 495- to 1050-th regions of the base sequence represented by SEQ ID NO:435 and the regions of complementary strands thereof and represented by, for example, any of SEQ ID NOS:436 to 474 is constructed.

TECHNICAL FIELD

The present invention relates to nucleic acid amplifying primers for detection of human cytokeratins.

BACKGROUND ART

Cytokeratins (hereinafter, referred to as “CK”) are proteins forming fibrous backbone of a cell and form a family of at least 20 genes. As such cytokeratins, human CK18, human CK19, human CK20 and the like are known. CKs are expressed in epithelial cells.

For example, previous reports described that human CK18 is expressed not only in normal tissues such as mammary gland, lung, large intestine, stomach but also in cancerous tissues, while human CK18 is not expressed in lymph nodes which are not epithelial tissues. As to human CK19, previous reports described that it is expressed in lung cancer, stomach cancer, breast cancer, pancreatic cancer, prostate cancer and the like, and difference in expression level of human CK19 is observed between normal tissues and cancerous tissues. As to human CK20, previous reports described that it is expressed in colon cancer, stomach cancer, Merkel cell cancer, gynaecologic mucus cancer, transitional cell cancer, pancreatic cancer and bile duct cancer, and also in this case, difference in expression level of human CK20 is observed between normal tissues and cancerous tissues.

In consideration of the above facts, it is possible to know presence/absence of metastasis of cancer by examination of presence/absence of expression of human CK18, human CK19 and/or human CK20 in tissues such as lymph nodes. Also it is possible to know presence/absence of metastasis of cancer by searching for those exhibit difference in expression level between normal tissues and cancerous tissues.

A cancer cell leaving the primary lesion site will metastasize around the body through the blood stream and lymphatic system. In a surgery of cancer, accurate detection of metastasis and proper treatment based on the extent of metastasis are required so as to remove lesions as reliable as possible. For this reason, intraoperative diagnosis of cancer metastasis to lymph nodes has great significance. For example, in the case of breast cancer, the range to be removed is getting smaller for improving the QOL, and diagnosis for lymph node metastasis during the surgery can be significant guidelines for determining the minimum of lymph node dissection. In the case of esophageal cancer, detection of a site where lymph node metastasis occurs may give guidelines for selection and determination of operative procedures including ventrotomy, thoracotomy and collar incision. In the case of prostate cancer, presence of lymph node metastasis will give guidelines for decision to conduct hormonal therapy while stopping the prostatectomy. Also in the case of stomach cancer, it will give guidelines for selecting an operative procedure and therapeutic strategy after the surgery. Considering the burden on a patient, intraoperative diagnosis for cancer metastasis should be conducted rapidly.

One procedure for diagnosing cancer metastasis to lymph nodes is detecting CK proteins which are tumor markers. For example, this is achieved by freezing a resected lymph node and staining a section of the frozen tissue. However, this procedure is accompanied with a risk that micrometastasis is overlooked because only the information about the section is relied on.

Recent development in gene analysis technique has enabled effective cancer diagnoses through detection of expression of tumor marker genes. For example, PCR technique enables a target DNA fragment to be amplified to several hundreds times by repetition of dissociation of DNA strands to a single-stranded DNA, binding of primers sandwiching a specific region in the DNA strand, and synthesis of DNA by DNA polymerase (see JP-A 61-274697), and can be used as a high-sensitive analyzing technique for nucleic acids in various types of sample. For example, since the PCR technique can analyze nucleic acids in samples obtained from animal body fluids or tissues, it is useful for diagnosis of infection diseases, genetic diseases, cancers and the like.

For detection of RNA, RT-PCR technique can be used. the RT-PCR technique involves extracting RNA, for example, from tumor tissues; synthesizing cDNA by the help of reverse transcriptase (RT) using oligo(dT) or random hexamer as a primer; amplifying the cDNA using PCR technique for detection. The exemplary case of diagnosis of fibroblast tumor using the RT-PCR technique has been reported (Hokkaido Igaku Zasshi p. 135-141, Vol. 66(2), (1991)). The RT-PCR makes it possible to detect expression of mRNA of CK from ablated tissues, so that the problem that cancer metastasis is overlooked can be avoided to some extent. In the field of diagnosis of tumor or cancer, such nucleic acid amplifying methods have been put into practical use (“Kanai's manual of clinical laboratory medicine” the 31st ed., pp. 1314, KANEHARA & Co., LTD., published on Sep. 20, 1998).

However, the PCR technique necessitates an operation for denaturing a template DNA from double-strand DNA to single-strand, as well as requires repetitive amplifying reactions under plural temperature conditions. Furthermore, in general, it takes about two hours to obtain a detectable amplified product, so that it was not desirable as an intraoperative test that requires rapidity.

As a DNA amplifying method other than the PCR technique, LAMP method has been reported (refer to International Publication WO00/28082). The LAMP method is a gene amplifying method using a plurality of primers including a primer that forms a hairpin structure at a terminal of the amplified product as the strand displacement reaction proceeds. In an initial reaction, using two kinds of inner primers (FIP, RIP) and two kinds of outer primers (F3 primer, R3 primer) and a strand displacing DNA polymerase, a dumbbell-like structure having a single-strand loop at each end is synthesized from a template DNA. Starting from this structure, the amplification cycle carried out so that extension and synthesis of DNA proceed on the DNA itself as a temperate, from the 3′ end of this structure. The amplified product comprises a repeated structure of plural units, and each unit comprises a set of complementary regions in the same strand that forms a region to be amplified sandwiched between the primers wherein two nucleic acids have inverted base sequences. The LAMP method does not require the operation for denaturing a template DNA from double strand to single strand by heating, and is characterized by continuous process of amplification under a constant temperature (refer to Bio Venture, Vol. 1, p. 109-115 (2001) and BIO INDUSTRY, Vol. 18, No. 2, p. 15-29 (2001)). When the template is RNA, it is possible to synthesize the starting structure in a similar manner by adding a reverse transcriptase to the composition of the reaction mixture, whereby amplification can be proceeded (RT-LAMP method). According to the LAMP method, a sufficient amount of amplified product for detection can be obtained in about 30 minutes. Therefore, the time required for detection is reduced, so that it can be applied for diagnosing cancer metastasis to lymph nodes for the purpose of rapid determination of the therapeutic strategy, for example. Furthermore, since a result can be acquired rapidly, application to the intraoperative diagnosis is also expected.

The basic concept of primers applied to the LAMP method can be found in International Publication No. WO00/28082 and International Publication NO. WO02/24902.

Primers and probes to be used in PCR for detection of human CK18 have been already reported (refer to Gene, 159(1), p. 43-47(1995)). Likewise, primers or probes to be used in PCR for detection of human CK19 have also been reported (refer to U.S. Pat. No. 6,203,992 and Breast Cancer Research and Treatment 60, p. 143-151(2000)) Also primers or probes to be used in PCR for detecting human CK20 have been reported (refer to British J. of Cancer, 77(8), p. 1327-1332(1998) and British J. of Cancer, 82(1), p157-160 (2000)).

However, nobody have reported primers to be applied to LAMP method intended for detection of human CKs, and there is a need to develop such primers. In addition, as for the primers to be applied to other nucleic acid amplifying means, there is a need to construct a new primer or a primer set that is useful for detection in addition to known primers.

(Document Of Conventional Art)

Patent document 1: International Publication No. WO00/28082

Patent document 2: International Publication No. WO02/24902

Patent document 3: U.S. Pat. No. 6,203,992

Non patent document 1: Bio Venture, Vol. 1, p. 109-115 (2001)

Non patent document 2: BIO INDUSTRY, Vol. 18, No. 2, p. 15-29 (2001)

Non patent document 3: Gene, 159(1), p. 43-47(1995)

Non patent document 4: Breast Cancer Research and Treatment 60, p. 143-151(2000)

Non patent document 5: British J. of Cancer, 77(8), p. 1327-1332(1998)

Non patent document 6: British J. of Cancer, 82(1), p157-160 (2000)

DISCLOSURE OF THE INVENTION Problems to be Solved by the Invention

It is an object of the present invention to provide new primers for use in a nucleic acid amplifying reaction for detecting human CKs. More specifically, the present invention is directed to provide primers for nucleic acid amplification according to the LAMP method.

Means for Solving the Problems

The inventors have diligently researched for overcoming the above problems, and finally constructed primers for nucleic acid amplification which can be effectively applied to the LAMP method and used for detecting human CKs.

That is, the present invention includes:

1. A primer for nucleic acid amplification for detecting cytokeratin based on the LAMP method;

2. The primer for nucleic acid amplification according to item 1, wherein the cytokeratin is selected from the group consisting of cytokeratin 18, cytokeratin 19 and cytokeratin 20;

3. A primer for nucleic acid amplification for detecting human cytokeratin 18 comprising an oligonucleotide having a sequence selected from the following groups 1) to 5);

1) an oligonucleotide selected from a region of base position 270-1375 in a base sequence of SEQ ID NO: 1 and a complementary strand region thereof, containing at least 5 or more successive bases in SEQ ID NO.1 and/or in the complementary strand thereof,

2) an oligonucleotide having a base sequence represented by any one of SEQ ID NOs: 2 to 341,

3) a complementary strand of the oligonucleotide according to the above 1) or 2),

4) an oligonucleotide capable of hybridizing with the oligonucleotide according to any one of the above 1) to 3) under stringent conditions, and

5) an oligonucleotide comprising a base sequence obtainable from the oligonucleotides according to the above 1) to 4) wherein one to several bases are replaced, inserted, added or otherwise mutated, the oligonucleotide having a primer function;

4. A primer for nucleic acid amplification for detecting human cytokeratin 18, comprising an oligonucleotide selected from the base sequences of SEQ ID NOs: 66 to 88 or 179 to 341;

5. The primer for nucleic acid amplification according to the above 3. or 4., wherein nucleic acid amplification is conducted by the LAMP method;

6. A primer set for nucleic acid amplification for detecting human cytokeratin 18, wherein at least two kinds of primers are selected from primers for nucleic acid amplification, each primer comprising an oligonucleotide comprising a sequence selected from the following groups 1) to 4); 1) an oligonucleotide selected from a region of base position 270-1375 in a base sequence of SEQ ID NO: 1 and a complementary strand region thereof, containing at least 5 or more successive bases in SEQ ID NO.1 and/or in the complementary strand thereof, 2) an oligonucleotide having a base sequence represented by any one of SEQ ID NOs: 2 to 341, 3) a complementary strand of the oligonucleotide according to the above 1) or 2), 4) an oligonucleotide capable of hybridizing with the oligonucleotide according to any one of the above 1) to 3) under stringent conditions, and 5) an oligonucleotide comprising a base sequence obtainable from the oligonucleotides according to the above 1) to 4) wherein one to several bases are replaced, inserted, added or otherwise mutated, the oligonucleotide having a primer function; 7. The primer set for nucleic acid amplification for detecting human cytokeratin 18 according to the above 6., wherein the nucleic acid amplification is conducted by the LAMP method; 8. The primer set for nucleic acid amplification for detecting human cytokeratin 18 according to the above 7., wherein at least four kinds of primers are selected from the primers for nucleic acid amplification each comprising an oligonucleotide; 9. The primer set for nucleic acid amplification for detecting human cytokeratin 18 according to any one of the above 6. to 8., wherein at least two kinds of primers included in the primer set respectively recognize two regions of the base sequence of SEQ ID NO: 1 and/or a complementary strand thereof; 10. The primer set according to any one of the above 7. to 9., wherein the primers included in said primer set recognize at least 6 regions in the base sequence of SEQ ID NO:1 and/or the complementary strand thereof; 11. A primer set comprising a combination of primers, one of the primers being selected from (a) SEQ ID NOs: 234 to 286, the other selected from (b) SEQ ID NOs: 287 to 341, among the primers for nucleic acid amplification for detecting human cytokeratin 18, each comprising an oligonucleotide selected from the base sequences of SEQ ID NOs:234 to 341; 12. The primer set according to the above 11., further comprising a combination of primers, one of the primers being selected from (c) SEQ ID NOs: 66 to 88, the other selected from (d) SEQ ID NOs: 179 to 201, among the primers for nucleic acid amplification for detecting human cytokeratin 18 each comprising an oligonucleotide selected from the base sequences of SEQ ID NOs: 66 to 88 or SEQ ID NOs: 179 to 201; 13. The primer set according to the above 11. or 12., further comprising a combination of primers, one of the primers being selected from (e) SEQ ID NOs: 202 to 219, the other selected from (f) SEQ ID NOs: 220 to 233, among the primers for nucleic acid amplification for detecting human cytokeratin 18 each comprising an oligonucleotide selected from the base sequences of SEQ ID NOs: 202 to 233; 14. The primer set for nucleic acid amplification for detecting cytokeratin 18 comprising either one of the following groups 1) to 4); 1) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 234, 287, 66 and 179 as primers, 2) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 252, 297, 68 and 182 as primers, 3) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 259, 307, 72 and 184 as primers, 4) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 278, 331, 79 and 193 as primers; 15. The primer set for nucleic acid amplification for detecting human cytokeratin 18 comprising either one of the following groups 1) to 4); 1) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 234, 287, 66, 179, 203 and 220 as primers, 2) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 252, 297, 68, 182, 211 and 223 as primers, 3) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 259, 307, 72, 184, 212 and 226 as primers, 4) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 278, 331, 79, 193, 214 and 228 as primers; 16. The primer set for nucleic acid amplification for detecting human cytokeratin 18 comprising either one of the following groups 1) to 8); 1) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 280, 334, 82 and 195 as primers, 2) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 281, 335, 83 and 196 as primers, 3) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 282, 336, 84 and 197 as primers, 4) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 282, 337, 84 and 197 as primers, 5) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 283, 338, 85 and 198 as primers, 6) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 284, 339, 86 and 199 as primers, 7) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 285, 340, 87 and 200 as primers, 8) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 286, 341, 88 and 201 as primers; 17. The primer set for nucleic acid amplification for detecting human cytokeratin 18 comprising either one of the following groups 1) to 6); 1) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 282, 336, 84, 197, 216 and 229 as primers, 2) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 282, 337, 84, 197, 216 and 230 as primers, 3) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 282, 337, 84, 197, 216 and 231 as primers, 4) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 283, 338, 85, 198, 217 and 232 as primers, 5) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 286, 341, 88, 201, 218 and 233 as primers, 6) a primer set including oligonucleotides having base sequences of SEQ ID NOs: 286, 341, 88, 201, 219 and 233 as primers; 18. A method for detecting nucleic acids of human cytokeratin 18 using a necessary primer selected from the primers according to the above 3. or 4., or a primer set selected from the primer sets according to any one of the above 5. to 17.; 19. A primer for nucleic acid amplification for detecting human cytokeratin 19 comprising an oligonucleotide having a sequence selected from the following groups 1) to 5); 1) an oligonucleotide selected from a region of base position 270-930 in a base sequence of SEQ ID NO: 342 and a complementary strand region thereof, containing at least 5 or more successive bases in SEQ ID NO.1 and/or in the complementary strand thereof, 2) an oligonucleotide having a base sequence represented by any one of SEQ ID NOs: 343 to 432, 3) a complementary strand of the oligonucleotide according to the above 1) or 2), 4) an oligonucleotide capable of hybridizing with the oligonucleotide according to any one of the above 1) to 3) under stringent conditions, and 5) an oligonucleotide comprising a base sequence obtainable from the oligonucleotides according to the above 1) to 4) wherein one to several bases are replaced, inserted, added or otherwise mutated, the oligonucleotide having a primer function; 20. A primer for nucleic acid amplification for detecting human cytokeratin 19, comprising an oligonucleotide selected from the base sequences of SEQ ID NOs: 357 to 361 or 378 to 434; 21. The primer for nucleic acid amplification for detecting human cytokeratin 19 according to the above 19. or 20., wherein the nucleic acid amplification is conducted by the LAMP method; 22. A primer set for nucleic acid amplification for detecting human cytokeratin 19, wherein at least two kinds of primers are selected from primers for nucleic acid amplification, each primer comprising an oligonucleotide comprising a sequence selected from the following groups 1) to 5); 1) an oligonucleotide selected from a region of base position 270-930 in a base sequence of SEQ ID NO: 342 and a complementary strand region thereof, containing at least 5 or more successive bases in SEQ ID NO.342 and/or in the complementary strand thereof, 2) an oligonucleotide having a base sequence represented by SEQ ID NOs: 343 to 434, 3) a complementary strand of the oligonucleotide according to the above 1) or 2), 4) an oligonucleotide capable of hybridizing with the oligonucleotide according to any one of the above 1) to 3) under stringent conditions, and 5) an oligonucleotide comprising a base sequence obtainable from the oligonucleotides according to the above 1) to 4) wherein one to several bases are replaced, inserted, added or otherwise mutated, the oligonucleotide having a primer function; 23. The primer set for detecting human cytokeratin 19 according to the above 22., wherein the nucleic acid amplification is conducted by the LAMP method; 24. The primer set for nucleic acid amplification for detecting human cytokeratin 19 according to the above 22. or 23., wherein at least four kinds of primers are selected from the primers for nucleic acid amplification each comprising an oligonucleotide; 25. The primer set for nucleic acid amplification for detecting human cytokeratin 19 according to any one of the above 22. to 24., wherein at least two kinds of primers included in the primer set respectively recognize two regions of the base sequence of SEQ ID NO: 342 and/or a complementary strand thereof; 26. The primer set for detecting human cytokeratin 19 according to any one of the above 22. to 25., wherein the primers included in said primer set recognize at least six regions in the base sequence represented by SEQ ID NO:342 and/or a complementary strand thereof; 27. A primer set comprising a combination of primers, one of the primers being selected from (a) SEQ ID NOs: 413 to 417, 419, 422 or 424 to 427, the other selected from (b) SEQ ID NOs: 418, 420, 421, 423 or 428 to 434, among the primers for nucleic acid amplification for detecting human cytokeratin 19, each comprising an oligonucleotide selected from the base sequences of SEQ ID NOs: 413 to 434; 28. The primer set according to the above 27., further comprising a combination of primers, one of the primers being selected from (c) SEQ ID NOs: 357 to 361, the other selected from (d) SEQ ID NOs: 378 to 384, among the primers for nucleic acid amplification for detecting human cytokeratin 19 each comprising an oligonucleotide selected from the base sequences of SEQ ID NOs: 357 to 361 or SEQ ID NOs: 378 to 384; 29. The primer set according to the above 27. or 28., further comprising a combination of primers, one of the primers being selected from (e) SEQ ID NOs: 385 to 398, the other selected from (f) SEQ ID NOs: 399 to 412, among the primers for nucleic acid amplification for detecting human cytokeratin 19 each comprising an oligonucleotide selected from the base sequences of SEQ ID NOs: 385 to 412; 30. A primer set comprising either one of the following combinations 1) to 4); 1) combination of primers selected respectively one from (a) SEQ ID NO: 413 to 417, (b) SEQ ID NO: 418, (c) SEQ ID NO: 357 and (d) SEQ ID NO: 378, 2) combination of primers selected respectively one from (a) SEQ ID NO: 419, (b) SEQ ID NO: 420 to 421, (c) SEQ ID NO: 358 and (d) SEQ ID NO: 379, 3) combination of primers selected respectively one from (a) SEQ ID NO: 422, (b) SEQ ID NO: 423, (c) SEQ ID NO: 359 and (d) SEQ ID NO: 380, 4) combination of primers selected respectively one from (a) SEQ ID NO: 424 to 427, (b) SEQ ID NO: 428 to 434, (c) SEQ ID NO: 360 to 361 and (d) SEQ ID NO: 381 to 384, among primers for nucleic acid amplification for detecting human cytokeratin 19 each comprising an oligonucleotide having a base sequence represented by each SEQ ID NO; 31. A primer set comprising either one of the following combinations 1) to 4); 1) combination of primers selected respectively one from (a) SEQ ID NO: 413 to 417, (b) SEQ ID NO: 418, (c) SEQ ID NO: 357, (d) SEQ ID NO: 378, (e) SEQ ID NO: 385 to 391 and (f) SEQ ID NO: 399 to 402, 2) combination of primers selected respectively one from (a) SEQ ID NO: 419, (b) SEQ ID NO: 420 to 421, (c) SEQ ID NO: 358, (d) SEQ ID NO: 379, (e) SEQ ID NO: 392 to 393 and (f) SEQ ID NO: 403 to 406, 3) combination of primers selected respectively one from (a) SEQ ID NO: 422, (b) SEQ ID NO: 423, (c) SEQ ID NO: 359, (d) SEQ ID NO: 380, (e) SEQ ID NO: 394 to 396 and (f) SEQ ID NO: 407 to 409, 4) combination of primers selected respectively one from (a) SEQ ID NO: 424 to 427, (b) SEQ ID NO: 428 to 434, (c) SEQ ID NO: 360 to 361, (d) SEQ ID NO: 381 to 384, (e) SEQ ID NO: 397 to 398 and (f) SEQ ID NO: 411 to 412; 32. A primer set for nucleic acid amplification for detecting human cytokeratin 19 comprising either one of the following groups 1) to 3); 1) a primer set including oligonucleotides having base sequences represented by SEQ ID NOs: 413, 418, 357 and 378 as primers, 2) a primer set including oligonucleotides having base sequences represented by SEQ ID NOs: 419, 421, 358 and 379 as primers. 3) a primer set including oligonucleotides having base sequences represented by SEQ ID NOs: 424, 431, 360 and 381 as primers; 33. A primer set for nucleic acid amplification for detecting human cytokeratin 19 comprising either one of the following groups 1) to 4); 1) a primer set including oligonucleotides having base sequences represented by SEQ ID NOs: 413, 418, 357, 378, 385 and 402 as primers, 2) a primer set including oligonucleotides having base sequences represented by SEQ ID NOs: 419, 421, 358, 379, 392 and 404 as primers, 3) a primer set including oligonucleotides having base sequences represented by SEQ ID NOs: 422, 423, 359, 380, 394 and 407 as primers, 4) a primer set including oligonucleotides having base sequences represented by SEQ ID NOs: 424, 431, 360, 381, 397 and 411 as primers; 34. A method for detecting nucleic acids using a necessary primer selected from the primers according to the above 19. or 20., or a primer set selected from the primer sets according to any one of the above 21. to 33.; 35. A primer for nucleic acid amplification for detecting human cytokeratin 20 comprising an oligonucleotide having a sequence selected from the following groups 1) to 5); 1) an oligonucleotide selected from a region of base position 340-490 or a region of base position 495-1050 in a base sequence of SEQ ID NO: 435 and regions of a complementary strand thereof, containing at least 5 or more successive bases in SEQ ID NO.435 and/or in the complementary strand thereof, 2) an oligonucleotide having a base sequence represented by any one of SEQ ID NOs: 436 to 460, 3) a complementary strand of the oligonucleotide according to the above 1) or 2), 4) an oligonucleotide capable of hybridizing with the oligonucleotide according to any one of the above 1) to 3) under stringent conditions, and 5) an oligonucleotide comprising abase sequence obtainable from the oligonucleotides according to the above 1) to 4) wherein one to several bases are replaced, inserted, added or otherwise mutated, the oligonucleotide having a primer function; 36. A primer for nucleic acid amplification for detecting human cytokeratin 20, comprising an oligonucleotide selected from the base sequences of SEQ ID NOs: 443, 444 or 454 to 474; 37. The primer for nucleic acid amplification for detecting human cytokeratin 20 according to the above 35. or 36, wherein the nucleic acid amplification is conducted by the LAMP method; 38. A primer set for nucleic acid amplification for detecting human cytokeratin 20, wherein at least two kinds of primers are selected from primers for nucleic acid amplification, each primer comprising an oligonucleotide comprising a sequence selected from the following groups 1) to 5); 1) an oligonucleotide selected from a region of base position 340-1050 in a base sequence of SEQ ID NO: 435 and a complementary strand region thereof, containing at least 5 or more successive bases in SEQ ID NO. 435 and/or in the complementary strand thereof, 2) an oligonucleotide having a base sequence represented by any one of SEQ ID NOs: 436 to 460, 3) a complementary strand of the oligonucleotide according to the above 1) or 2), 4) an oligonucleotide capable of hybridizing with the oligonucleotide according to any one of the above 1) to 3) under stringent conditions, and 5) an oligonucleotide comprising a base sequence obtainable from the oligonucleotides according to the above 1) to 4) wherein one to several bases are replaced, inserted, added or otherwise mutated, the oligonucleotide having a primer function; 39. The primer set for nucleic acid amplification for detecting human cytokeratin 20 according to the above 38., wherein the nucleic acid amplification is conducted by the LAMP method; 40. The primer set for nucleic acid amplification for detecting human cytokeratin 20 according to the above 39., wherein at least four kinds of primers are selected from the primers for nucleic acid amplification each comprising an oligonucleotide; 41. The primer set for detecting human cytokeratin 20 according to any one of the above 38. to 40., wherein at least two kinds of primers included in the primer set respectively recognize two regions of the base sequence of SEQ ID NO: 435 and/or a complementary strand thereof; 42. The primer set for detecting human cytokeratin 20 according to any one of the above 38. to 41., wherein the primers included in said primer set recognize at least six regions in the base sequence represented by SEQ ID NO:435 and/or a complementary strand thereof; 43. A primer set comprising a combination of primers, one of the primers being selected from (a) SEQ ID NOs: 461 to 466, the other selected from (b) SEQ ID NOs: 468 to 473, among the primers for nucleic acid amplification for detecting human cytokeratin 20 each comprising an oligonucleotide selected from the base sequences of SEQ ID NOs: 461 to 466 or SEQ ID NOs: 468 to 473; 44. The primer set for detecting human cytokeratin 20 according to the above 43., further comprising oligonucleotides having base sequences represented by SEQ ID NO: 444 and SEQ ID NO: 455 as primers; 45. The primer set for detecting human cytokeratin 20 according to the above 43. or 44., further comprising an oligonucleotide having a base sequence represented by SEQ ID NO: 457 and/or 459 or 460 as a primer; 46. A primer set for detecting human cytokeratin 20 comprising oligonucleotides having base sequences represented by SEQ ID NOs: 443, 454, 467 and 474 as primers; 47. A primer set for detecting human cytokeratin 20, wherein an oligonucleotide having abase sequence represented by SEQ ID NO: 456 and/or 458 is used as a primer in addition to oligonucleotides having base sequences represented by SEQ ID NOs: 443, 454, 467 and 474; 48. A method for detecting nucleic acids using a necessary primer selected from the primers according to the above 35. or 36., or a primer set selected from the primer sets according to any one of the above 37. to 47.; 49. The method for detecting nucleic acids according to the above 18., 34. or 48., wherein the nucleic acid amplification is conducted by the LAMP method; 50. A reagent for use in the method for detecting nucleic acids according to the above 18., 34., 48. or 49.; 51. A reagent kit for use in the method for detecting nucleic acids according to the above 18., 34., 48. or 49.; and 52. A nucleic acid detecting system using the method for detecting nucleic acids according to the above 18., 34., 48. or 49.

BRIEF DESCRIPTION OF DRAWINGS

FIG. 1 is a view showing results of LAMP conducted by using Primer set I of human CK18 (Test example 1-1);

FIG. 2 is a view showing results of LAMP conducted by using Primer set II of human CK18 (Test example 1-1);

FIG. 3 is a view showing results of LAMP conducted by using Primer set III of human CK18 (Test example 1-1);

FIG. 4 is a view showing results of LAMP conducted by using Primer set IV of human CK18 (Test example 1-1);

FIG. 5 is a view showing results of LAMP conducted by using Primer set I (with loop primers) of human CK18 (Test example 1-2);

FIG. 6 is a view showing results of LAMP conducted by using Primer set I (without loop primers) of human CK18 (Test example 1-2);

FIG. 7 shows amplification specificity when LAMP is conducted using Primer set I of human CK18 (Test example 1-3);

FIG. 8 is a view showing results of LAMP conducted by using Primer set A (without loop primers) of human CK19 (Test example 2-1);

FIG. 9 is a view showing results of LAMP conducted by using Primer set A (without loop primers) of human CK19 (Test example 2-1);

FIG. 10 is a view showing results of LAMP conducted by using Primer set A (with loop primers) of human CK19 (Test example 2-1);

FIG. 11 is a view showing results of LAMP conducted by using Primer set A (with loop primers) of human CK19 (Test example 2-1);

FIG. 12 is a view showing results of LAMP conducted by using Primer set A (with loop primers) of human CK19 (Test example 2-1);

FIG. 13 is a view showing results of LAMP conducted by using Primer set C (without loop primers) of human CK19 (Test example 2-2);

FIG. 14 is a view showing results of LAMP conducted by using Primer set C (with loop primers) of human CK19 (Test example 2-2);

FIG. 15 is a view showing results of LAMP conducted by using Primer set C (with loop primers) of human CK19 (Test example 2-2);

FIG. 16 is a view showing results of LAMP conducted by using Primer set C (with loop primers) of human CK19 (Test example 2-2);

FIG. 17 is a view showing results of LAMP conducted by using Primer set C (with loop primers) of human CK19 (Test example 2-2);

FIG. 18 is a view showing results of LAMP conducted by using Primer set C (with loop primers) of human CK19 (Test example 2-2);

FIG. 19 is a view showing results of LAMP conducted by using Primer set C (with loop primers) of human CK19 (Test example 2-2);

FIG. 20 is a view showing results of LAMP conducted by using Primer set D (without loop primers) of human CK19 (Test example 2-3);

FIG. 21 is a view showing results of LAMP conducted by using Primer set D (with loop primers) of human CK19 (Test example 2-3);

FIG. 22 is a view showing results of LAMP conducted by using Primer set A of human CK19 (Test example 2-4);

FIG. 23 is a view showing results of LAMP conducted by using Primer set B of human CK19 (Test example 2-4);

FIG. 24 is a view showing results of LAMP conducted by using Primer set C of human CK19 (Test example 2-4);

FIG. 25 is a view showing results of LAMP conducted by using Primer set D of human CK19 (Test example 2-4);

FIG. 26 shows amplification specificity when LAMP is conducted using Primer set A of human CK19 (Test example 2-5);

FIG. 27 shows amplification specificity when LAMP is conducted using Primer set B of human CK19 (Test example 2-5);

FIG. 28 shows amplification specificity when LAMP is conducted using Primer set C of human CK19 (Test example 2-5);

FIG. 29 shows amplification specificity when LAMP is conducted using Primer set D of human CK19 (Test example 2-5);

FIG. 30 is a view showing results of LAMP conducted by using Primer set C of human CK19 (Test example 2-6);

FIG. 31 is a view showing results of LAMP conducted by using Primer set C of human CK19 (Test example 2-7);

FIG. 32 is a view showing results of LAMP conducted by using Primer set 1 of human CK20 (Test example 3-2);

FIG. 33 shows amplification specificity when LAMP is conducted using Primer set 1 of human CK20 (Test example 3-3);

FIG. 34 is a view showing results of LAMP conducted by using Primer set 3 of human CK20 (Test example 3-4);

FIG. 35 shows amplification specificity when LAMP is conducted using Primer set 3 of human CK20 (Test example 3-5);

BEST MODE FOR CARRYING OUT THE INVENTION Primer Designing

The present invention provides a primer for nucleic acid amplification applicable to methods of amplifying nucleic acids of human CKs, preferably to the LAMP method. For example, the primer can be designed by selecting an appropriate oligonucleotide comprising at least 5 or more successive bases in known CK base sequences represented by, for example, SEQ ID NOs: 1, 342, 435 and/or complementary sequences thereof.

The basic concept of primers used in the LAMP method is as described in Patent document 1. Concretely, defining three regions F3c, F2c, F1c in this order from 3′ end and three regions R3, R2, R1 in this order from 5′ end of a target DNA to be amplified, and at least four primers are designed by selecting oligonucleotide chains comprising base sequences that are substantially identical with and/or substantially complementary with those of at least the above six regions.

The wording “substantially identical base sequence” is defined as follows. When a complementary strand that has been synthesized from a template having a certain base sequence hybridizes with a target base sequence and gives a starting point of synthesis of a complementary strand, the base sequence is referred to be substantially identical with the target base sequence. For example, the wording “base sequence substantially identically with F2” comprehends not only the base sequence that is perfectly identical with F2 but also the base sequences serving as templates that hybridize with F2 and give a base sequence serving as a starting point for synthesis of a complementary strand.

The term “identical” or “complementary” used herein for characterizing a base sequence constituting an oligonucleotide according to the present invention does not necessarily mean “perfectly identical” or “perfectly complementary”. In other words, when referring to “identical to a certain sequence”, sequences which are complementary to those capable of hybridizing with the certain sequence are also included. On the other hand, the term “complementary” means a sequence that is capable of hybridizing under stringent conditions and providing 3′ end serving as a starting point of synthesis of a complementary strand.

Primers of the present invention have such a chain length that allows base-pair biding with a complementary strand while keeping a necessary specificity under a given environment in a variety of nucleic acid synthesis reaction as will be described below. Concretely, they have a length of 5 to 200 bases, more preferably 10 to 50 bases. Since the chain length of a primer that can be recognized by a known polymerase catalyzing sequence-dependent nucleic acid synthesis reaction is at least around 5 bases, the length of the hybridizing part should be longer than that. Additionally, from the view point of keeping specificity of a particular base sequence, the base sequence preferably has a length of not less than 10 bases. Too long base sequences are difficult to be prepared by chemical synthesis, so that the aforementioned chain lengths are exemplified as a preferred range.

The term “template” used herein means a nucleic acid which serves as a template for synthesis of a complementary strand. A complementary strand whose base sequence is complementary to a template is also interpreted as a strand capable of hybridizing with a template, however the relation between template and complementary strand is relative. In other words, a complementary strand can become a template.

In the present invention, primers selected from a base sequence of a target DNA each constitute either of FIP (forward inner primer), F3 primer (forward outer primer), RIP (reverse inner primer) and R3 primer (reverse outer primer).

FIP is designed to have a base sequence of F2 region which is substantially complementary with F2c region of a target DNA at its 3′ end, and a base sequence which is substantially identical to F1c region of the target DNA at its 5′ end. In this case, a sequence that does not depend on the target DNA may exist between the sequences of F2 and F1c. The sequence that does not depend on the target DNA may have a length of 0 to 50 bases, preferably 0 to 40 bases.

F3 primer is designed to have a base sequence substantially identical with F3 region which is substantially complementary with F3c region of a target DNA.

RIP is designed to have a base sequence of R2 region which is substantially complementary with R2c region of a target DNA at its 3′ end, and a base sequence which is substantially identical to R1c region of the target DNA at its 5′ end. Likewise FIP, a sequence that does not depend on the target DNA may exist between the sequences of R2 and R1c in RIP.

R3 primer is designed to have a base sequence substantially identical with R3 region which is substantially complementary with R3c region of a target DNA.

In the LAMP method, by additionally using at least one kind of loop primer, it is possible to reduce the time for amplification (refer to International Publication No. WO02/24902). The term “loop primer” refers to a primer having a complementary sequence in a single-strand part of the 5′ end loop of the dumbbell structure, more concretely, between R1 region and R2 region or between F1 region and F2 region, for example. Use of a loop primer makes it possible to increase the starting points of DNA synthesis. This loop primer is designed so as to allow hybridization in a loop region where FIP or RIP that is generated in the course of DNA synthesis will not hybridize.

(Designing of Primer for Detecting Human CK18)

A primer for detecting human CK18 is designed by selecting an appropriate oligonucleotide comprising at least 5 or more successive bases from a known base sequence of 1412 bases represented by SEQ ID NO: 1 and/or a complementary sequence thereof. The base sequence represented by SEQ ID NO: 1 is based on Genbank accession No. 4557887.

A primer for detecting human CK18 is also designed by selecting a region in accordance with the aforementioned principle of primer.

Taking care of the base composition, GC content, secondary structure, Tm value and the like, the region of a primer for detecting human CK18 is selected so that the base sequence recognizing a DNA region has a length of at least 5 bases, preferably 10 to 30 bases, more preferably 17 to 25 bases. Tm value can be generally determined by Nearest Neighbor method. DNA region can be selected so that Tm value is 55 to 65° C., preferably 58 to 64° C., and GC content is 40 to 70%, preferably 50 to 65%.

With such a condition, the region of primer selected in the present invention is included in a region of base position 270-1375 of the base sequence represented by SEQ ID NO:1 and a region of complementary strand thereof, and preferably in a region of base position 280-580 and a region of complementary strand thereof.

A primer for detecting human cytokeratin CK18 is designed by selecting from the following groups 1) to 5); 1) an oligonucleotide included in a region of base position 270-1375 in a base sequence of SEQ ID NO: 1 and/or a complementary strand region thereof, containing at least 5 bases; 2) an oligonucleotide having a base sequence represented by any one of SEQ ID NOs: 2 to 41; 3) a complementary strand of the oligonucleotide according to the above 1) or 2); 4) an oligonucleotide capable of hybridizing with the oligonucleotide according to any one of the above 1) to 3) under stringent conditions, and 5) an oligonucleotide comprising abase sequence obtainable from the oligonucleotides according to the above 1) to 4) wherein one to several bases are replaced, inserted, added or otherwise mutated.

Oligonucleotides can be produced by a well-known method, for example by chemical synthesis. Alternatively, naturally occurring nucleic acid may be digested with a restriction enzyme or the like, followed by modification or coupling, thereby forming the base sequence as described above. Concretely, they can be synthesized using an oligonucleotide synthesizer (Expedite Model 8909 DNA synthesizer, manufactured by Applied Biosystems) or the like. Also oligonucleotides in which one to several bases are replaced, inserted, added or otherwise mutated can be synthesized by a well-known process. For example, synthesis of such oligonucleotide can be achieved by using site-directed mutagenesis, gene homologous recombination, primer extension or PCR technique singly or in appropriate combination, according to the method described in, for example, Molecular Cloning: A Laboratory Manual (2nd edition, 1989) edited by Sambrook, et al., Cold Spring Harbor Laboratory Press., Cold Spring Harbor N.Y.; Labomanual Genetic Engineering edited by Masaki Muramatsu, Maruzen, 1988; and PCR technology—Principal and application of DNA amplification edited by Ehrlichm H E., Stockton Press, 1989, or modified methods of the above using, for example Ulmer's technique (Science (1983) 219:666).

As a stringent hybridization condition, generally known conditions can be selected. One exemplary condition includes: overnight hybridization at 42° C. in a solution containing 50% formamide, 5×SSC (150 mM NaCl, 15 mM trisodium citrate), 50 mM sodium phosphate, pH 7.6, 5× Denhart's solution, 10% dextran sulfate, and 20 μg/ml of DNA; primary washing in 2×SSC·0.1% SDS at room temperature; and secondary washing in 0.1×SSC·0.1% SDS at 65° C.

In this case, since the nucleic acid template to be amplified is mRNA of human CK18, primers to be used should be designed so as not to amplify genomic DNA contained in the test sample. Concretely, at least one of the primers included in a primer set of the present invention preferably includes a region spanning a plurality of exons in human CK18 gene. Such measure makes it possible to selectively amplify sequences from mRNA of human CK18 while excluding amplification of sequences from genomic DNA.

(Designing of Primer for Detecting Human CK19)

Also a primer for detecting human CK19 is designed in a similar manner as a primer for detecting human CK18. A primer for detecting human CK19 is designed by selecting an appropriate oligonucleotide comprising at least 5 or more successive bases from a known base sequence of 1360 bases represented by SEQ ID NO: 342 and/or a complementary sequence thereof. The base sequence represented by SEQ ID NO: 342 is based on Genbank accession No. 4504916.

Also a primer for detecting human CK19 is also designed by selecting a region in accordance with the aforementioned principle of primer.

The region of primer for detecting human CK19 is included in a region of base position 270-930 of the base sequence represented by SEQ ID NO: 342 and/or a region of complementary strand thereof, and preferably in a region of base position 270-560, 370-585, 625-854 or 655-930 and/or a region of complementary strand thereof.

A primer for detecting human CK19 is designed by selecting from the following groups 1) to 5); 1) an oligonucleotide included in a region of base position 270-930 in a base sequence of SEQ ID NO: 342 and a complementary strand region thereof, preferably included in a region of base position 270-560, 370-585, 625-854 or 655-930 and/or a region of complementary strand thereof, containing at least 5 bases; 2) an oligonucleotide having a base sequence represented by any one of SEQ ID NOs: 343 to 382; 3) a complementary strand of the oligonucleotide according to the above 1) or 2); 4) an oligonucleotide capable of hybridizing with the oligonucleotide according to any one of the above 1) to 3) under stringent conditions, and 5) an oligonucleotide comprising a base sequence obtainable from the oligonucleotides according to the above 1) to 4) wherein one to several bases are replaced, inserted, added or otherwise mutated.

(Designing of Primer for Detecting Human CK20)

Also a primer for detecting human CK20 is designed in a similar manner as a primer for detecting human CK18 or CK19. A primer for detecting human CK20 is designed by selecting an appropriate oligonucleotide comprising at least 5 or more successive bases from a known base sequence of 1275 bases represented by SEQ ID NO: 435 and/or a complementary sequence thereof. The base sequence represented by SEQ ID NO: 435 is based on Genbank accession No. 402644.

Also a primer for detecting human CK20 is also designed by selecting a region in accordance with the aforementioned principle of primer.

The region of primer for detecting human CK20 is included in a region of base position 340-1050 of the base sequence represented by SEQ ID NO:435 and a region of complementary strand thereof, preferably in a region of base position 340-490 or 495-1050 and a region of complementary strand thereof, and more preferably in a region of base position 340-490, 495-570 or 790-1050 and a region of complementary strand thereof.

A primer for detecting human CK20 is designed by selecting from the following groups 1) to 5); 1) an oligonucleotide included in a region of base position 340-1050 in a base sequence of SEQ ID NO: 435 and/or a complementary strand region thereof, preferably included in a region of base position 340-490 or 495-1050 and/or a region of complementary strand thereof, and more preferably included in a region of base position 340-490, 495-570 or 790-1050 and/or a region of complementary strand thereof, containing at least 5 bases; 2) an oligonucleotide having a base sequence represented by any one of SEQ ID NOs: 436 to 474; 3) a complementary strand of the oligonucleotide according to the above 1) or 2); 4) an oligonucleotide capable of hybridizing with the oligonucleotide according to any one of the above 1) to 3) under stringent conditions, and 5) an oligonucleotide comprising a base sequence obtainable from the oligonucleotides according to the above 1) to 4) wherein one to several bases are replaced, inserted, added or otherwise mutated.

(Primer Set)

In conducting amplification of nucleic acid using a primer of the present invention, combination of two or more kinds of primers are used as a primer set. In the LAMP method, combination of at lest four kinds of primers (FIP, F3 primer, RIP, R3 primer) is used as a primer set. Additionally, one or more kind of loop primer may be combined in the primer set.

(RT-LAMP Method)

RT-LAMP method is a kind of LAMP method which uses RNA as a template. Basic concept of the LAMP method is as described in International Publication No. WO00/28082. In the RT-LAMP method, a starting point structure of LAMP method is synthesized while cDNA is synthesized from a template RNA in the same solution. More specifically, after the following step 1), the steps of 2) to 5) are repeated for extension of DNA, whereby amplification of target DNA is achieved.

1) FIP binds to a template RNA strand, and a complementary DNA strand to the template RNA strand extends. For this reaction, reverse transcriptase such as reverse transcriptase from AMV is used.

2) A complementary DNA to the template RNA strand extends while the DNA strand from FIP synthesized in the step 1) is peeled off the template RNA by F3 primer. Extension of DNA strand after that time proceeds by virtue of DNA polymerase.

3) RIP binds to the DNA strand peeled off in the step 2), and a DNA strand extends.

4) A complementary DNA strand to the DNA from FIP extends, while R3 primer peels off the DNA strand from RIP extended in the step 3), whereby a starting point structure of LAMP method is synthesized.

5) Since both ends of the DNA strand peeled off in the step 4) have sequences which are complementary with each other in the same DNA strand, these sequences hybridize with each other, providing loop structures on both ends.

Enzymes having both the reverse transcriptase activity and DNA polymerase activity such as BcaDNA polymerase are also known. By using such an enzyme, the above reaction can be conducted with one enzyme.

(Detection Method)

A DNA strand synthesized in the LAMP method has a sequence which is complementary to the own sequence, so that most part of the DNA strand forms base-pair binding. Using this characteristic, it is possible to detect an amplified product. By conducting nucleic acid amplification using primers of the present invention in the presence of fluorochromes such as ethidium bromide, SYBER GREEN I and Pico Green, which are double strand intercalators, increase in fluorescence intensity is observed as the product increases. By monitoring this, it is possible to simultaneously trace amplification of DNA and increase in fluorescence in a closed system (See “Kanai's manual of clinical laboratory medicine” the 31st ed., pp. 1318; JP-A 2001-242169, hereinafter simply referred to as “real-time method”).

Furthermore, in the LAMP method, insoluble magnesium pyrophosphate is generated as a by-product during the amplification reaction, resulting in white turbidness. Therefore, by detecting the turbidity by checking the turbidness of the reaction solution by eyes or by measuring absorbance or scattered light intensity of the reaction solution, or by examining the residue on a color filter after filtration of the reaction solution through the filter, it is possible to determine presence/absence of the amplified product (See International Publication No. WO01/83817).

(Reagents, Reagent Kit Etc.)

A variety of reagents required for detecting nucleic acids using primers of the present invention can be packed into a kit form in advance. Concretely, a variety of oligonucleotides required as primers for synthesis of complementary strand or primers for replacement of the present invention; an enzyme having reverse transcriptase activity; dNTPs serving as substrates for synthesis of complementary strand; a DNA polymerase for conducting strand displacing synthesis of complementary strand; a buffer for providing a desired condition for the enzymatic reaction; agents for removing substances that inhibit the amplification reaction such as RNase inhibitor as necessary; and further reagents required for detecting a reaction product as necessary are provided in the form of a kit.

The present invention covers a primer and a primer set for nucleic acid amplification; a nucleic acid detecting method using these primers; a detection reagent used in the nucleic acid detecting method; a nucleic acid detecting kit; and an entire nucleic acid detecting system.

EXAMPLES

In the following, the present invention will be described in more detail by way of examples, however it is to be noted that the present invention will not be limited to these examples.

Example 1-1 Selection of Region from Human CK18 Base Sequence

The base sequence of human CK18 represented by SEQ ID NO: 1 was searched for positions of appropriate regions for the LAMP method using a probe designing software. As a result of selecting regions according to the criteria that Tm 58.5-63.5° C. for F1c and R1c, Tm 61.5-62.5° C. for F2 and R2, Tm 58.5-62.5° C. for F3 and R3, the regions as shown below are selected. The selected regions are included in a region of base position 340-1050 of the base sequence represented by SEQ ID NO: 1 and a complementary strand region thereof.

F1c: Complementary strand region for base position on base sequence represented by SEQ ID NO: 1

442-420 tgaagtaatggctccagtctctg (SEQ ID NO: 2) 439-418 agtaatggctccagtctctgac (SEQ ID NO: 3) 443-421 ttgaagtaatggctccagtctct (SEQ ID NO: 4) 419-403 acctggggtcccttctt (SEQ ID NO: 5) 414-396 gggtcccttcttctccaag (SEQ ID NO: 6) 413-394 ggtcccttcttctccaagtg (SEQ ID NO: 7) 412-393 gtcccttcttctccaagtgc (SEQ ID NO: 8) 411-392 tcccttcttctccaagtgct (SEQ ID NO: 9) 410-392 cccttcttctccaagtgctc (SEQ ID NO: 10) 409-390 ccttcttctccaagtgctcc (SEQ ID NO: 11) 584-568 acagactggcgcatggc (SEQ ID NO: 12) 620-602 tcaatgaccttgcggagcc (SEQ ID NO: 13) 621-602 atcaatgaccttgcggagcc (SEQ ID NO: 14) 622-603 catcaatgaccttgcggagc (SEQ ID NO: 15) 623-603 tcatcaatgaccttgcggagc (SEQ ID NO: 16) 666-648 agcctcgatctctgtctcc (SEQ ID NO: 17) 743-726 gagctggcaatctgggct (SEQ ID NO: 18) 742-725 agctggcaatctgggctt (SEQ ID NO: 19) 741-724 gctggcaatctgggcttg (SEQ ID NO: 20) 740-720 ctggcaatctgggcttgtagg (SEQ ID NO: 21) 739-720 tggcaatctgggcttgtagg (SEQ ID NO: 22) 738-719 ggcaatctgggcttgtaggc (SEQ ID NO: 23) 756-740 cacggtcaacccagagc (SEQ ID NO: 24) 795-777 gatcttggcgaggtcctga (SEQ ID NO: 25) 809-789 cggatgtctgccatgatcttg (SEQ ID NO: 26) 829-810 ccagctcgtcatattgggcc (SEQ ID NO: 27) 913-894 cagcagactgtgtggtgacc (SEQ ID NO: 28) 941-924 gtgagcgtcgtctcagca (SEQ ID NO: 29) 1008-987  gctggccttcagatttctcatg (SEQ ID NO: 30) 355-335 ccaggctcctcactctgtcca (SEQ ID NO: 31) 430-410 tccagtctctgacctggggtc (SEQ ID NO: 32) 588-569 ctccacagactggcgcatgg (SEQ ID NO: 33) 769-748 gggcatctacctccacggtcaa (SEQ ID NO: 34) 897-877 gaccactgtggtgctctcctc (SEQ ID NO: 35) 925-904 cagctccaacctcagcagactg (SEQ ID NO: 36) 1263-1242 ggtttgcatggagttgctgctg (SEQ ID NO: 37) F2: Region of base position on base sequence represented by SEQ ID NO: 1

376-392 gagagcaaaatccggga (SEQ ID NO: 38) 377-393 agagcaaaatccgggag (SEQ ID NO: 39) 378-394 gagcaaaatccgggagc (SEQ ID NO: 40) 384-400 aatccgggagcacttgg (SEQ ID NO: 41) 369-385 gaggctggagagcaaaa (SEQ ID NO: 42) 523-540 cgtcttgctgctgatgac (SEQ ID NO: 43) 524-542 gtcttgctgctgatgactt (SEQ ID NO: 44) 543-565 tagagtcaagtatgagacagagc (SEQ ID NO: 45) 544-565 agagtcaagtatgagacagagc (SEQ ID NO: 46) 546-566 agtcaagtatgagacagagct (SEQ ID NO: 47) 588-604 gaacgacatccatgggc (SEQ ID NO: 48) 660-676 cgaggctctcaaggagg (SEQ ID NO: 49) 661-677 gaggctctcaaggagga (SEQ ID NO: 50) 662-678 aggctctcaaggaggag (SEQ ID NO: 51) 687-706 catgaagaagaaccacgaag (SEQ ID NO: 52) 719-736 gcctacaagcccagattg (SEQ ID NO: 53) 747-763 gttgaccgtggaggtag (SEQ ID NO: 54) 768-784 ccccaaatctcaggacc (SEQ ID NO: 55) 839-855 accgagaggagctagac (SEQ ID NO: 56) 878-894 aggagagcaccacagtg (SEQ ID NO: 57) 943-960 gagctgagacgtacagtc (SEQ ID NO: 58) 295-314 gagaccatgcaaagcctgaa (SEQ ID NO: 59) 369-388 gaggctggagagcaaaatcc (SEQ ID NO: 60) 523-542 cgtcttgctgctgatgactt (SEQ ID NO: 61) 708-729 ggaagtaaaaggcctacaagcc (SEQ ID NO: 62) 837-857 gaaccgagaggagctagacaa (SEQ ID NO: 63) 864-884 gtctcagcagattgaggagag (SEQ ID NO: 64) 1202-1221 tggaagatggcgaggacttt (SEQ ID NO: 65) F3: Region of base position on base sequence represented by SEQ ID NO: 1

322-338 ctggcctcttacctgga (SEQ ID NO: 66) 293-309 aggagaccatgcaaagc (SEQ ID NO: 67) 470-489 tcttcgcaaatactgtggac (SEQ ID NO: 68) 466-486 cagatcttcgcaaatactgtg (SEQ ID NO: 69) 473-491 tcgcaaatactgtggacaa (SEQ ID NO: 70) 476-495 caaatactgtggacaatgcc (SEQ ID NO: 71) 523-540 cgtcttgctgctgatgac (SEQ ID NO: 72) 546-566 agtcaagtatgagacagagct (SEQ ID NO: 73) 624-643 caccaatatcacacgactgc (SEQ ID NO: 74) 687-706 catgaagaagaaccacgaag (SEQ ID NO: 75) 695-712 agaaccacgaagaggaag (SEQ ID NO: 76) 747-763 gttgaccgtggaggtag (SEQ ID NO: 77) 812-829 cccaatatgacgagctgg (SEQ ID NO: 78) 845-864 aggagctagacaagtactgg (SEQ ID NO: 79) 855-873 caagtactggtctcagcag (SEQ ID NO: 80) 907-923 tctgctgaggttggagc (SEQ ID NO: 81) 275-294 gaggcatccagaacgagaag (SEQ ID NO: 82) 349-366 agcctggagaccgagaac (SEQ ID NO: 83) 490-507 aatgcccgcatcgttctg (SEQ ID NO: 84) 672-690 ggaggagctgctcttcatg (SEQ ID NO: 85) 807-824 ccgggcccaatatgacga (SEQ ID NO: 86) 840-859 ccgagaggagctagacaagt (SEQ ID NO: 87) 1176-1193 tgagatcgccacctaccg (SEQ ID NO: 88) R1c: Region of base position on base sequence represented by SEQ ID NO: 1

444-463 gatcatcgaggacctgaggg (SEQ ID NO: 89) 420-442 cagagactggagccattacttca (SEQ ID NO: 90) 424-447 gactggagccattacttcaagatc (SEQ ID NO: 91) 425-448 actggagccattacttcaagatca (SEQ ID NO: 92) 426-450 ctggagccattacttcaagatcatc (SEQ ID NO: 93) 427-451 tggagccattacttcaagatcatcg (SEQ ID NO: 94) 428-451 ggagccattacttcaagatcatcg (SEQ ID NO: 95) 429-453 gagccattacttcaagatcatcgag (SEQ ID NO: 96) 430-454 agccattacttcaagatcatcgagg (SEQ ID NO: 97) 431-454 gccattacttcaagatcatcgagg (SEQ ID NO: 98) 432-456 ccattacttcaagatcatcgaggac (SEQ ID NO: 99) 433-457 cattacttcaagatcatcgaggacc (SEQ ID NO: 100) 587-605 agaacgacatccatgggct (SEQ ID NO: 101) 588-606 gaacgacatccatgggctc (SEQ ID NO: 102) 589-607 aacgacatccatgggctcc (SEQ ID NO: 103) 590-607 acgacatccatgggctcc (SEQ ID NO: 104) 598-614 catgggctccgcaaggt (SEQ ID NO: 105) 632-649 tcacacgactgcagctgg (SEQ ID NO: 106) 624-645 caccaatatcacacgactgcag (SEQ ID NO: 107) 630-649 tatcacacgactgcagctgg (SEQ ID NO: 108) 631-649 atcacacgactgcagctgg (SEQ ID NO: 109) 685-708 ttcatgaagaagaaccacgaagag (SEQ ID NO: 110) 739-756 agctctgggttgaccgtg (SEQ ID NO: 111) 740-756 gctctgggttgaccgtg (SEQ ID NO: 112) 741-757 ctctgggttgaccgtgg (SEQ ID NO: 113) 742-758 tctgggttgaccgtgga (SEQ ID NO: 114) 743-759 ctgggttgaccgtggag (SEQ ID NO: 115) 744-760 tgggttgaccgtggagg (SEQ ID NO: 116) 746-764 ggttgaccgtggaggtaga (SEQ ID NO: 117) 747-767 gttgaccgtggaggtagatgc (SEQ ID NO: 118) 748-767 ttgaccgtggaggtagatgc (SEQ ID NO: 119) 749-767 tgaccgtggaggtagatgc (SEQ ID NO: 120) 750-768 gaccgtggaggtagatgcc (SEQ ID NO: 121) 751-768 accgtggaggtagatgcc (SEQ ID NO: 122) 766-783 gcccccaaatctcaggac (SEQ ID NO: 123) 812-831 cccaatatgacgagctggct (SEQ ID NO: 124) 855-877 caagtactggtctcagcagattg (SEQ ID NO: 125) 924-941 tgctgagacgacgctcac (SEQ ID NO: 126) 947-966 tgagacgtacagtccagtcc (SEQ ID NO: 127) 1016-1032 acagcctgagggaggtg (SEQ ID NO: 128) 360-379 cgagaaccggaggctggaga (SEQ ID NO: 129) 443-464 agatcatcgaggacctgagggc (SEQ ID NO: 130) 592-611 gacatccatgggctccgcaa (SEQ ID NO: 131) 778-799 caggacctcgccaagatcatgg (SEQ ID NO: 132) 900-921 cacacagtctgctgaggttgga (SEQ ID NO: 133) 928-948 gagacgacgctcacagagctg (SEQ ID NO: 134) 1277-1296 ccacccgccggatagtggat (SEQ ID NO: 135) R2: Complementary strand region for base position on base sequence represented by SEQ ID NO: 1

540-523 gtcatcagcagcaagacg (SEQ ID NO: 136) 541-523 agtcatcagcagcaagacg (SEQ ID NO: 137) 494-475 gcattgtccacagtatttgc (SEQ ID NO: 138) 493-474 cattgtccacagtatttgcg (SEQ ID NO: 139) 492-473 attgtccacagtatttgcga (SEQ ID NO: 140) 491-473 ttgtccacagtatttgcga (SEQ ID NO: 141) 490-472 tgtccacagtatttgcgaa (SEQ ID NO: 142) 489-470 gtccacagtatttgcgaaga (SEQ ID NO: 143) 488-468 tccacagtatttgcgaagatc (SEQ ID NO: 144) 487-467 ccacagtatttgcgaagatct (SEQ ID NO: 145) 486-466 cacagtatttgcgaagatctg (SEQ ID NO: 146) 678-662 ctcctccttgagagcct (SEQ ID NO: 147) 677-661 tcctccttgagagcctc (SEQ ID NO: 148) 676-660 cctccttgagagcctcg (SEQ ID NO: 149) 675-659 ctccttgagagcctcga (SEQ ID NO: 150) 673-657 ccttgagagcctcgatc (SEQ ID NO: 151) 672-655 cttgagagcctcgatctc (SEQ ID NO: 152) 667-651 gagcctcgatctctgtc (SEQ ID NO: 153) 666-649 agcctcgatctctgtctc (SEQ ID NO: 154) 665-649 gcctcgatctctgtctc (SEQ ID NO: 155) 713-696 acttcctcttcgtggttc (SEQ ID NO: 156) 721-702 ggccttttacttcctcttcg (SEQ ID NO: 157) 714-696 tacttcctcttcgtggttc (SEQ ID NO: 158) 762-746 tacctccacggtcaacc (SEQ ID NO: 159) 809-792 cggatgtctgccatgatc (SEQ ID NO: 160) 808-790 ggatgtctgccatgatctt (SEQ ID NO: 161) 829-812 ccagctcgtcatattggg (SEQ ID NO: 162) 877-858 caatctgctgagaccagtac (SEQ ID NO: 163) 874-856 tctgctgagaccagtactt (SEQ ID NO: 164) 922-906 ctccaacctcagcagac (SEQ ID NO: 165) 985-969 agtccaggtcgatctcc (SEQ ID NO: 166) 1006-987  tggccttcagatttctcatg (SEQ ID NO: 167) 1011-994  caagctggccttcagatt (SEQ ID NO: 168) 1086-1070 aaggtgcagcaggatcc (SEQ ID NO: 169) 437-417 taatggctccagtctctgacc (SEQ ID NO: 170) 515-496 tcaatctgcagaacgatgcg (SEQ ID NO: 171) 669-649 gagagcctcgatctctgtctc (SEQ ID NO: 172) 669-650 gagagcctcgatctctgtct (SEQ ID NO: 173) 857-837 ttgtctagctcctctcggttc (SEQ ID NO: 174) 857-838 ttgtctagctcctctcggtt (SEQ ID NO: 175) 981-962 caggtcgatctccaaggact (SEQ ID NO: 176) 1008-989  gctggccttcagatttctca (SEQ ID NO: 177) 1350-1331 gctggcttaatgcctcagaa (SEQ ID NO: 178) R3: Complementary strand region for base position on base sequence represented by SEQ ID NO: 1

566-546 agctctgtctcatacttgact (SEQ ID NO: 179) 541-523 agtcatcagcagcaagacg (SEQ ID NO: 180) 540-523 9gtcatcagcagcaagacg (SEQ ID NO: 181) 721-702 ggccttttacttcctcttcg (SEQ ID NO: 182) 713-696 acttcctcttcgtggttc (SEQ ID NO: 183) 740-724 ctggcaatctgggcttg (SEQ ID NO: 184) 786-769 gaggtcctgagatttggg (SEQ ID NO: 185) 854-837 tctagctcctctcggttc (SEQ ID NO: 186) 877-858 caatctgctgagaccagtac (SEQ ID NO: 187) 922-906 ctccaacctcagcagac (SEQ ID NO: 188) 910-894 cagactgtgtggtgacc (SEQ ID NO: 189) 893-877 actgtggtgctctcctc (SEQ ID NO: 190) 960-943 gactgtacgtctcagctc (SEQ ID NO: 191) 1021-1005 ggctgttctccaagctg (SEQ ID NO: 192) 1056-1039 catctgtagggcgtagcg (SEQ ID NO: 193) 1141-1125 catactcctgggcctgg (SEQ ID NO: 194) 476-458 gcgaagatctgagccctca (SEQ ID NO: 195) 538-521 catcagcagcaagacggg (SEQ ID NO: 196) 688-670 tgaagagcagctcctcctt (SEQ ID NO: 197) 885-866 gctctcctcaatctgctgag (SEQ ID NO: 198) 1008-989  gctggccttcagatttctca (SEQ ID NO: 199) 1030-1012 cctccctcaggctgttctc (SEQ ID NO: 200) 1370-1352 ccaaagggtaccctgcttc (SEQ ID NO: 201) Loop F: Complementary strand region for base position on base sequence represented by SEQ ID NO: 1

419-403 acctggggtcccttctt (SEQ ID NO: 202) 414-396 gggtcccttcttctccaag (SEQ ID NO: 203) 413-394 ggtcccttcttctccaagtg (SEQ ID NO: 204) 399-380 caagtgctcccggattttgc (SEQ ID NO: 205) 398-380 aagtgctcccggattttgc (SEQ ID NO: 206) 397-379 agtgctcccggattttgct (SEQ ID NO: 207) 396-378 gtgctcccggattttgctc (SEQ ID NO: 208) 395-377 tgctcccggattttgctct (SEQ ID NO: 209) 394-376 gctcccggattttgctctc (SEQ ID NO: 210) 567-544 cagctctgtctcatacttgactct (SEQ ID NO: 211) 584-568 acagactggcgcatggc (SEQ ID NO: 212) 709-688 cctcttcgtggttcttcttcat (SEQ ID NO: 213) 916-898 cctcagcagactgtgtggt (SEQ ID NO: 214) 913-894 cagcagactgtgtggtgacc (SEQ ID NO: 215) 567-544 cagctctgtctcatacttgactct (SEQ ID NO: 216) 743-726 gagctggcaatctgggct (SEQ ID NO: 217) 1243-1224 tgtccaaggcatcaccaaga (SEQ ID NO: 218) 1242-1222 gtccaaggcatcaccaagatt (SEQ ID NO: 219) Loop R: Region of base position on base sequence represented by SEQ ID NO: 1

474-495 cgcaaatactgtggacaatgcc (SEQ ID NO: 220) 466-489 cagatcttcgcaaatactgtggac (SEQ ID NO: 221) 444-463 gatcatcgaggacctgaggg (SEQ ID NO: 222) 626-646 ccaatatcacacgactgcagc (SEQ ID NO: 223) 617-640 ttgatgacaccaatatcacacgac (SEQ ID NO: 224) 632-649 tcacacgactgcagctgg (SEQ ID NO: 225) 659-676 tcgaggctctcaaggagg (SEQ ID NO: 226) 767-784 cccccaaatctcaggacc (SEQ ID NO: 227) 970-986 gagatcgacctggactc (SEQ ID NO: 228) 622-643 gacaccaatatcacacgactgc (SEQ ID NO: 229) 621-643 tgacaccaatatcacacgactgc (SEQ ID NO: 230) 623-644 acaccaatatcacacgactgca (SEQ ID NO: 231) 810-829 ggcccaatatgacgagctgg (SEQ ID NO: 232) 1296-1315 tggcaaagtggtgtctgaga (SEQ ID NO: 233)

Example 1-2 Designing of Primer for Detecting CK18

From the sequences of the regions selected in Example 1-1, the following primers for nucleic acid amplification to be applied to the LAMP method were obtained.

FIP: Primer having base sequence in which base sequences of regions F1c and F2 are coupled

09FA971-376 tgaagtaatggctccagtctctggagagcaaaatccggga (SEQ ID NO: 234) 09FA971-377 tgaagtaatggctccagtctctgagagcaaaatccgggag (SEQ ID NO: 235) 09FA971-378 tgaagtaatggctccagtctctggagcaaaatccgggagc (SEQ ID NO: 236) 09FA971-384 tgaagtaatggctccagtctctgaatccgggagcacttgg (SEQ ID NO: 237) 09FA974-376 agtaatggctccagtctctgacgagagcaaaatccggga (SEQ ID NO: 238) 09FA974-377 agtaatggctccagtctctgacagagcaaaatccgggag (SEQ ID NO: 239) 09FA974-378 agtaatggctccagtctctgacgagcaaaatccgggagc (SEQ ID NO: 240) 09FA974-384 agtaatggctccagtctctgacaatccgggagcacttgg (SEQ ID NO: 241) 09FA970-376 ttgaagtaatggctccagtctctgagagcaaaatccggga (SEQ ID NO: 242) 09FA970-377 ttgaagtaatggctccagtctctagagcaaaatccgggag (SEQ ID NO: 243) 09FA970-378 ttgaagtaatggctccagtctctgagcaaaatccgggagc (SEQ ID NO: 244) 09FA970-384 ttgaagtaatggctccagtctctaatccgggagcacttgg (SEQ ID NO: 245) 09FA999-369 gggtcccttcttctccaaggaggctggagagcaaaa (SEQ ID NO: 246) 09FA994-369 acctggggtcccttcttgaggctggagagcaaaa (SEQ ID NO: 247) 09FA1000-369 ggtcccttcttctccaagtggaggctggagagcaaaa (SEQ ID NO: 248) 09FA1002-369 tcccttcttctccaagtgctgaggctggagagcaaaa (SEQ ID NO: 249) 09FA1004-369 ccttcttctccaagtgctccgaggctggagagcaaaa (SEQ ID NO: 250) 12FA829-523 acagactggcgcatggccgtcttgctgctgatgac (SEQ ID NO: 251) 12FA829-524 acagactggcgcatggcgtcttgctgctgatgactt (SEQ ID NO: 252) 13FA793-543 tcaatgaccttgcggagcctagagtcaagtatgagacagagc (SEQ ID NO: 253) 13FA793-544 tcaatgaccttgcggagccagagtcaagtatgagacagagc (SEQ ID NO: 254) 13FA793-546 tcaatgaccttgcggagccagtcaagtatgagacagagct (SEQ ID NO: 255) 13FA792-543 atcaatgaccttgcggagcctagagtcaagtatgagacagagc (SEQ ID NO: 256) 13FA792-544 atcaatgaccttgcggagccagagtcaagtatgagacagagc (SEQ ID NO: 257) 13FA792-546 atcaatgaccttgcggagccagtcaagtatgagacagagct (SEQ ID NO: 258) 13FA791-543 catcaatgaccttgcggagctagagtcaagtatgagacagagc (SEQ ID NO: 259) 13FA791-544 catcaatgaccttgcggagcagagtcaagtatgagacagagc (SEQ ID NO: 260) 13FA791-546 catcaatgaccttgcggagcagtcaagtatgagacagagct (SEQ ID NO: 261) 13FA790-543 tcatcaatgaccttgcggagctagagtcaagtatgagacagagc (SEQ ID NO: 262) 13FA790-544 tcatcaatgaccttgcggagcagagtcaagtatgagacagagc (SEQ ID NO: 263) 13FA790-546 tcatcaatgaccttgcggagcagtcaagtatgagacagagct (SEQ ID NO: 264) 14FA747-588 agcctcgatctctgtctccgaacgacatccatgggc (SEQ ID NO: 265) 18FA675-660 ggcaatctgggcttgtaggccgaggctctcaaggagg (SEQ ID NO: 266) 18FA670-660 gagctggcaatctgggctcgaggctctcaaggagg (SEQ ID NO: 267) 18FA670-662 gagctggcaatctgggctaggctctcaaggaggag (SEQ ID NO: 268) 18FA674-660 tggcaatctgggcttgtaggcgaggctctcaaggagg (SEQ ID NO: 269) 18FA674-662 tggcaatctgggcttgtaggaggctctcaaggaggag (SEQ ID NO: 270) 18FA675-661 ggcaatctgggcttgtaggcgaggctctcaaggagga (SEQ ID NO: 271) 18FA675-662 ggcaatctgggcttgtaggcaggctctcaaggaggag (SEQ ID NO: 272) 19FA657-687 cacggtcaacccagagccatgaagaagaaccacgaag (SEQ ID NO: 273) 21FA618-719 gatcttggcgaggtcctgagcctacaagcccagattg (SEQ ID NO: 274) 21FA604-747 cggatgtctgccatgatcttggttgaccgtggaggtag (SEQ ID NO: 275) 23FA584-768 ccagctcgtcatattgggccccccaaatctcaggacc (SEQ ID NO: 276) 27FA500-839 cagcagactgtgtggtgaccaccgagaggagctagac (SEQ ID NO: 277) 29FA472-878 gtgagcgtcgtctcagcaaggagagcaccacagtg (SEQ ID NO: 278) 32FA405-943 gctggccttcagatttctcatggagctgagacgtacagtc (SEQ ID NO: 279) ek 335-295 ccaggctcctcactctgtccagagaccatgcaaagcctgaa (SEQ ID NO: 280) ek 410-369 tccagtctctgacctggggtcgaggctggagagcaaaa (SEQ ID NO: 281) ek 569-523 ctccacagactggcgcatggcgtcttgctgctgatgac (SEQ ID NO: 282) ek 748-708 gggcatctacctccacggtcaaggaagtaaaaggcctacaagcc (SEQ ID NO: 283) ek 877-837 gaccactgtggtgctctcctcgaaccgagaggagctagacaa (SEQ ID NO: 284) ek 904-864 cagctccaacctcagcagactggtctcagcagattgaggagag (SEQ ID NO: 285) ek 1242-1202 ggtttgcatggagttgctgctgtggaagatggcgaggacttt (SEQ ID NO: 286) RIP: Primer having base sequence in which base sequences of regions R1c and R2 are coupled 09RA444-873 gatcatcgaggacctgaggggtcatcagcagcaagacg (SEQ ID NO: 287) 09RA444-872 gatcatcgaggacctgagggagtcatcagcagcaagacg (SEQ ID NO: 288) 09RA420-927 cagagactggagccattacttcacacagtatttgcgaagatctg (SEQ ID NO: 289) 09RA420-925 cagagactggagccattacttcatccacagtatttgcgaagatc (SEQ ID NO: 290) 09RA420-923 cagagactggagccattacttcatgtccacagtatttgcgaa (SEQ ID NO: 291) 09RA420-921 cagagactggagccattacttcaattgtccacagtatttgcga (SEQ ID NO: 292) 09RA420-919 cagagactggagccattacttcagcattgtccacagtatttgc (SEQ ID NO: 293) 09RA424-927 gactggagccattacttcaagatccacagtatttgcgaagatctg (SEQ ID NO: 294) 09RA424-923 gactggagccattacttcaagatctgtccacagtatttgcgaa (SEQ ID NO: 295) 09RA424-921 gactggagccattacttcaagatcattgtccacagtatttgcga (SEQ ID NO: 296) 12RA598-737 catgggctccgcaaggtcctccttgagagcctcg (SEQ ID NO: 297) 12RA587-746 agaacgacatccatgggctgagcctcgatctctgtc (SEQ ID NO: 298) 12RA588-737 gaacgacatccatgggctccctccttgagagcctcg (SEQ ID NO: 299) 12RA588-746 gaacgacatccatgggctcgagcctcgatctctgtc (SEQ ID NO: 300) 12RA588-748 gaacgacatccatgggctcgcctcgatctctgtctc (SEQ ID NO: 301) 12RA590-737 acgacatccatgggctcccctccttgagagcctcg (SEQ ID NO: 302) 12RA590-746 acgacatccatgggctccgagcctcgatctctgtc (SEQ ID NO: 303) 12RA590-748 acgacatccatgggctccgcctcgatctctgtctc (SEQ ID NO: 304) 12RA598-740 catgggctccgcaaggtccttgagagcctcgatc (SEQ ID NO: 305) 12RA598-746 catgggctccgcaaggtgagcctcgatctctgtc (SEQ ID NO: 306) 13RA632-700 tcacacgactgcagctggacttcctcttcgtggttc (SEQ ID NO: 307) 13RA632-692 tcacacgactgcagctggggccttttacttcctcttcg (SEQ ID NO: 308) 13RA632-699 tcacacgactgcagctggtacttcctcttcgtggttc (SEQ ID NO: 309) 13RA624-700 caccaatatcacacgactgcagacttcctcttcgtggttc (SEQ ID NO: 310) 13RA624-699 caccaatatcacacgactgcagtacttcctcttcgtggttc (SEQ ID NO: 311) 13RA624-692 caccaatatcacacgactgcagggccttttacttcctcttcg (SEQ ID NO: 312) 13RA631-700 atcacacgactgcagctggacttcctcttcgtggttc (SEQ ID NO: 313) 13RA631-699 atcacacgactgcagctggtacttcctcttcgtggttc (SEQ ID NO: 314) 13RA631-692 atcacacgactgcagctggggccttttacttcctcttcg (SEQ ID NO: 315) 13RA630-700 tatcacacgactgcagctggacttcctcttcgtggttc (SEQ ID NO: 316) 13RA630-699 tatcacacgactgcagctggtacttcctcttcgtggttc (SEQ ID NO: 317) 13RA630-692 tatcacacgactgcagctggggccttttacttcctcttcg (SEQ ID NO: 318) 14RA685-651 ttcatgaagaagaaccacgaagagtacctccacggtcaacc (SEQ ID NO: 319) 18RA743-604 ctgggttgaccgtggagcggatgtctgccatgatc (SEQ ID NO: 320) 18RA743-605 ctgggttgaccgtggagggatgtctgccatgatctt (SEQ ID NO: 321) 18RA747-604 gttgaccgtggaggtagatgccggatgtctgccatgatc (SEQ ID NO: 322) 18RA749-604 tgaccgtggaggtagatgccggatgtctgccatgatc (SEQ ID NO: 323) 18RA751-604 accgtggaggtagatgcccggatgtctgccatgatc (SEQ ID NO: 324) 18RA749-605 tgaccgtggaggtagatgcggatgtctgccatgatctt (SEQ ID NO: 325) 18RA751-605 accgtggaggtagatgccggatgtctgccatgatctt (SEQ ID NO: 326) 19RA766-584 gcccccaaatctcaggacccagctcgtcatattggg (SEQ ID NO: 327) 21RA812-536 cccaatatgacgagctggctcaatctgctgagaccagtac (SEQ ID NO: 328) 23RA855-491 caagtactggtctcagcagattgctccaacctcagcagac (SEQ ID NO: 329) 27RA924-428 tgctgagacgacgctcacagtccaggtcgatctcc (SEQ ID NO: 330) 29RA947-402 tgagacgtacagtccagtcccaagctggccttcagatt (SEQ ID NO: 331) 29RA947-407 tgagacgtacagtccagtcctggccttcagatttctcatg (SEQ ID NO: 332) 32RA1016-327 acagcctgagggaggtgaaggtgcagcaggatcc (SEQ ID NO: 333) ek 360-417 cgagaaccggaggctggagataatggctccagtctctgacc (SEQ ID NO: 334) ek 443-496 agatcatcgaggacctgagggctcaatctgcagaacgatgcg (SEQ ID NO: 335) ek 592-649 gacatccatgggctccgcaagagagcctcgatctctgtctc (SEQ ID NO: 336) ek 592-650 gacatccatgggctccgcaagagagcctcgatctctgtct (SEQ ID NO: 337) ek 778-837 caggacctcgccaagatcatgggaaccgagaggagctagacaa (SEQ ID NO: 338) ek 900-962 cacacagtctgctgaggttggacaggtcgatctccaaggact (SEQ ID NO: 339) ek 928-989 gagacgacgctcacagagctggctggccttcagatttctca (SEQ ID NO: 340) ek 1277-1331 ccacccgccggatagtggatgctggcttaatgcctcagaa (SEQ ID NO: 341) F3 primer: (primer comprising base sequence represented by respective SEQ ID NO)

F309-322 (SEQ ID NO: 66), F309-293 (SEQ ID NO: 67),

F312-470 (SEQ ID NO: 68), F312-466 (SEQ ID NO: 69),

F312-473 (SEQ ID NO: 70), F312-476 (SEQ ID NO: 71),

F313-523 (SEQ ID NO: 72), F314-546 (SEQ ID NO: 73),

F319-624 (SEQ ID NO: 74), F321-687 (SEQ ID NO: 75),

F321-695 (SEQ ID NO: 76), F323-747 (SEQ ID NO: 77),

F327-812 (SEQ ID NO: 78), F329-845 (SEQ ID NO: 79),

F329-855 (SEQ ID NO: 80), F332-907 (SEQ ID NO: 81),

F3 8 (SEQ ID NO: 82), F3 13 (SEQ ID NO: 83),

F3 14 (SEQ ID NO: 84), F3 16 (SEQ ID NO: 85),

F3 23 (SEQ ID NO: 86), F3 29 (SEQ ID NO: 87)

F3 37 (SEQ ID NO: 88)

R3 primer: (primer comprising base sequence represented by respective SEQ ID NO)

R309-847 (SEQ ID NO: 179), R309-872 (SEQ ID NO: 180),

R309-873 (SEQ ID NO: 181), R312-692 (SEQ ID NO: 182),

R312-700 (SEQ ID NO: 183), R313-673(SEQ ID NO: 184),

R314-627 (SEQ ID NO: 185), R318-559(SEQ ID NO: 186),

R319-536 (SEQ ID NO: 187), R321-491(SEQ ID NO: 188),

R321-503 (SEQ ID NO: 189), R321-520(SEQ ID NO: 190),

R323-453 (SEQ ID NO: 191), R327-392(SEQ ID NO: 192),

R329-357 (SEQ ID NO: 193), R332-272(SEQ ID NO: 194),

B3 8 (SEQ ID NO: 195), B3 13 (SEQ ID NO: 196),

B3 14 (SEQ ID NO: 197), B3 19 (SEQ ID NO: 198),

B3 21 (SEQ ID NO: 199), B3 35 (SEQ ID NO: 200),

B3 37 (SEQ ID NO: 201)

Loop primer: (primer comprising base sequence represented by respective SEQ ID NO)

LF09-994 (SEQ ID NO: 202), LF09-999 (SEQ ID NO: 203),

LF09-1000 (SEQ ID NO: 204), LF09-1014(SEQ ID NO: 205),

LF09-1015 (SEQ ID NO: 206), LF09-1016(SEQ ID NO: 207),

LF09-1017 (SEQ ID NO: 208), LF09-1018(SEQ ID NO: 209),

LF09-1019 (SEQ ID NO: 210), LF12-846 (SEQ ID NO: 211),

LF13-829 (SEQ ID NO: 212), LF18-704 (SEQ ID NO: 213),

LF29-497 (SEQ ID NO: 214), LF29-500 (SEQ ID NO: 215),

LF 14 (SEQ ID NO: 216), LF 20 (SEQ ID NO: 217),

LF 371 (SEQ ID NO: 218), LF 372 (SEQ ID NO: 219)

LR09-474 (SEQ ID NO: 220), LR09-466 (SEQ ID NO: 221),

LR09-444 (SEQ ID NO: 222), LR12-626 (SEQ ID NO: 223),

LR12-617 (SEQ ID NO: 224), LR12-632 (SEQ ID NO: 225),

LR13-659 (SEQ ID NO: 226), LR18-767 (SEQ ID NO: 227),

LR29-970 (SEQ ID NO: 228), LB 14 (SEQ ID NO: 229),

LB 151 (SEQ ID NO: 230), LB 152 (SEQ ID NO: 231),

LB 371 (SEQ ID NO: 232), LB 372 (SEQ ID NO: 233)

Example 2-1 Selection of Region from Human CK19 Base Sequence

The base sequence of human CK19 represented by SEQ ID NO: 342 was searched for positions of appropriate regions for the LAMP method using a probe designing software. As a result of selecting regions according to the criteria that Tm 58.5-63.5° C. for F1c and R1c, Tm 61.5-62.5° C. for F2 and R2, Tm 58.5-62.5° C. for F3 and R3, the regions as shown below are selected. The selected regions are included in a region of base position 270-930 of the base sequence represented by SEQ ID NO: 342 and a complementary strand region thereof.

F1c: Regions on complementary strand of base sequence represented by SEQ ID NO: 342

426-405 5′-tgtagtagtggctgtagtcgcg-3′ (SEQ ID NO: 343) 429-407 5′-tcgtgtagtagtggctgtagtcg-3′ (SEQ ID NO: 344) 479-458 5′-ggagttctcaatggtggcacca-3′ (SEQ ID NO: 345) 716-700 5′-ttggcccctcagcgtac-3′ (SEQ ID NO: 346) 752-735 5′-agcggaatccacctccac-3′ (SEQ ID NO: 347) 747-728 5′-aatccacctccacactgacc-3′ (SEQ ID NO: 348) 746-728 5′-atccacctccacactgacc-3′ (SEQ ID NO: 349) 745-728 5′-tccacctccacactgacc-3′ (SEQ ID NO: 350) F2: Regions on base sequence represented by SEQ ID NO: 342

352-370 5′-agctagaggtgaagatccg-3′ (SEQ ID NO: 351) 364-380 5′-agatccgcgactggtac-3′ (SEQ ID NO: 352) 360-376 5′-gtgaagatccgcgactg-3′ (SEQ ID NO: 353) 417-437 5′-actactacacgaccatccagg-3′ (SEQ ID NO: 354) 658-674 5′-aagagctggcctacctg-3′ (SEQ ID NO: 355) 690-709 5′-gaggaaatcagtacgctgag-3′ (SEQ ID NO: 356)

-   -   F3: Regions on base sequence represented by SEQ ID NO: 342

275-293 5′-gctaaccatgcagaacctc-3′ (SEQ ID NO: 357) 375-392 5′-tggtaccagaagcagggg-3′ (SEQ ID NO: 358) 628-645 5′-acctggagatgcagatcg-3′ (SEQ ID NO: 359) 658-674 5′-aagagctggcctacctg-3′ (SEQ ID NO: 360) 661-677 5′-agctggcctacctgaag-3′ (SEQ ID NO: 361) R1c: Regions on base sequence represented by SEQ ID NO: 342

533-516 5′-gtgccaccattgagaactcc-3′ (SEQ ID NO: 362) 485-505 5′-tgtcctgcagatcgacaacgc-3′ (SEQ ID NO: 363) 486-506 5′-gtcctgcagatcgacaacgcc-3′ (SEQ ID NO: 364) 727-744 5′-aggtcagtgtggaggtgg-3′ (SEQ ID NO: 365) 764-783 5′-tctcgccaagatcctgagtg-3′ (SEQ ID NO: 366) 766-785 5′-tcgccaagatcctgagtgac-3′ (SEQ ID NO: 367) 772-793 5′-agatcctgagtgacatgcgaag-3′ (SEQ ID NO: 368) R2: Regions on complementary strand of base sequence represented by SEQ ID NO: 342

533-516 5′-ggttcggaagtcatctgc-3′ (SEQ ID NO: 369) 545-526 5′-cgtctcaaacttggttcgga-3′ (SEQ ID NO: 370) 547-528 5′-tccgtctcaaacttggttcg-3′ (SEQ ID NO: 371) 790-773 5′-gcatgtcactcaggatc-3′ (SEQ ID NO: 372) 841-824 5′-caggcttcagcatccttc-3′ (SEQ ID NO: 373) 848-832 5′-ggtgaaccaggcttcag-3′ (SEQ ID NO: 374) 847-831 5′-gtgaaccaggcttcagc-3′ (SEQ ID NO: 375) 845-828 5′-gaaccaggcttcagcatc-3′ (SEQ ID NO: 376) 843-827 5′-accaggcttcagcatcc-3′ (SEQ ID NO: 377) R3: Regions on complementary strand of base sequence represented by SEQ ID NO: 342

556-540 5′-agagcctgttccgtctc-3′ (SEQ ID NO: 378) 567-584 5′-gtggaggccgacatcaac-3′ (SEQ ID NO: 379) 841-824 5′-caggcttcagcatccttc-3′ (SEQ ID NO: 380) 916-900 5′-tcggacctgctcatctg-3′ (SEQ ID NO: 381) 925-908 5′-tcagtaacctcggacctg-3′ (SEQ ID NO: 382) 923-907 5′-agtaacctcggacctgc-3′ (SEQ ID NO: 383) 921-905 5′-taacctcggacctgctc-3′ (SEQ ID NO: 384) Loof F: Regions on complementary strand of base sequence represented by SEQ ID NO: 342

395-381 5′-aggcccctgcttctg-3′ (SEQ ID NO: 385) 393-379 5′-gcccctgcttctggt-3′ (SEQ ID NO: 386) 392-376 5′-cccctgcttctggtacc-3′ (SEQ ID NO: 387) 392-375 5′-cccctgcttctggtacca-3′ (SEQ ID NO: 388) 393-376 5′-gcccctgcttctggtacc-3′ (SEQ ID NO: 389) 395-380 5′-aggcccctgcttctgg-3′ (SEQ ID NO: 390) 394-379 5′-ggcccctgcttctggt-3′ (SEQ ID NO: 391) 457-440 5′-agaatcttgtcccgcagg-3′ (SEQ ID NO: 392) 456-440 5′-gaatcttgtcccgcagg-3′ (SEQ ID NO: 393) 699-680 5′-tgatttcctcctcatggttc-3′ (SEQ ID NO: 394) 698-679 5′-gatttcctcctcatggttct-3′ (SEQ ID NO: 395) 694-676 5′-tcctcctcatggttcttct-3′ (SEQ ID NO: 396) 734-318 5′-actgacctggcctccca-3′ (SEQ ID NO: 397) 724-710 5′-cctcccacttggccc-3′ (SEQ ID NO: 398) Loop R: Regions on complementary strand of base sequence represented by SEQ ID NO: 342

493-510 5′-agatcgacaacgcccgtc-3′ (SEQ ID NO: 399) 495-512 5′-atcgacaacgcccgtctg-3′ (SEQ ID NO: 400) 495-509 5′-atcgacaacgcccgt-3′ (SEQ ID NO: 401) 496-509 5′-tcgacaacgcccgt-3′ (SEQ ID NO: 402) 506-520 5′-ccgtctggctgcaga-3′ (SEQ ID NO: 403) 507-520 5′-cgtctggctgcagatga-3′ (SEQ ID NO: 404) 508-525 5′-gtctggctgcagatgact-3′ (SEQ ID NO: 405) 509-526 5′-tctggctgcagatgactt-3′ (SEQ ID NO: 406) 752-767 5′-tccgggcaccgatctc-3′ (SEQ ID NO: 407) 756-771 5′-ggcaccgatctcgcca-3′ (SEQ ID NO: 408) 755-769 5′-gggcaccgatctcgc-3′ (SEQ ID NO: 409) 757-771 5′-gcaccgatctcgcca-3′ (SEQ ID NO: 410) 805-822 5′-tcatggccgagcagaacc-3′ (SEQ ID NO: 411) 806-821 5′-catggccgagcagaac-3′ (SEQ ID NO: 412)

Example 2-2 Designing of Primer for Detecting CK19

From the sequences of the regions selected in Example 2-1, the following primers for nucleic acid amplification to be applied to the LAMP method were obtained.

Each primer is shown in a primer set to be used in the RT-LAMP method of the present invention, and classified into four Groups A to D depending on the region. Each primer belonging to Group A is selected from a region of base position 270-560 in the base sequence represented by SEQ ID NO: 342 and a region of complementary strand thereof; likewise each primer belonging to Group B is selected from a region of base position 370-585 and a region of complementary strand thereof; likewise each primer belonging to Group C is selected from a region of base position 625-854 and a region of complementary strand thereof; and likewise each primer belonging to Group D is selected from a region of base position 655-930 and a region of complementary strand thereof.

(Group A)

FIP: Base Sequences of Regions F1c and F2 Coupled FA-401 5′-tgtagtagtggctgtagtcgcgagctagaggtgaagatccg-3′ (SEQ ID NO: 413) (Base sequences of SEQ ID NO: 343 and SEQ ID NO: 351 are coupled) FA-403 5′-tgtagtagtggctgtagtcgcgagatccgcgactggtac-3′ (SEQ ID NO: 414) (Base sequences of SEQ ID NO: 343 and SEQ ID NO: 352 are coupled) FA-404 5′-tcgtgtagtagtggctgtagtcgagctagaggtgaagatccg-3′ (SEQ ID NO: 415) (Base sequences of SEQ ID NO: 344 and SEQ ID NO: 351 are coupled) FA-405 5′-tcgtgtagtagtggctgtagtcggtgaagatccgcgactg-3′ (SEQ ID NO: 416) (Base sequences of SEQ ID NO: 344 and SEQ ID NO: 353 are coupled) FA-406 5′-tcgtgtagtagtggctgtagtcgagatccgcgactggtac-3′ (SEQ ID NO: 417) (Base sequences of SEQ ID NO: 344 and SEQ ID NO: 352 are coupled) RIP: Base Sequences of Regions R1c and R2 Coupled RA-401 5′-gtgccaccattgagaactccggttcggaagtcatctgc-3′ (SEQ ID NO: 418) (Base sequences of SEQ ID NO: 362 and SEQ ID NO: 369 are coupled) F3 primer: (identical sequence with base sequence of F3 region) F3-401 5′-gctaaccatgcagaacctc-3′ (SEQ ID NO: 357) R3 primer: (identical sequence with base sequence of R3 region) R3-401 5′-agagcctgttccgtctc-3′ (SEQ ID NO: 378) Loop primer: (identical sequence with base sequence of loop F region or loop R) LPF-401 5′-aggcccctgcttctg-3′ (SEQ ID NO: 385) LPF-402 5′-gcccctgcttctggt-3′ (SEQ ID NO: 386) LPF-403 5′-cccctgcttctggtacc-3′ (SEQ ID NO: 387) LPF-404 5′-cccctgcttctggtacca-3′ (SEQ ID NO: 388) LPF-405 5′-gcccctgcttctggtacc-3′ (SEQ ID NO: 389) LPF-406 5′-aggcccctgcttctgg-3′ (SEQ ID NO: 390) LPF-407 5′-ggcccctgcttctggt-3′ (SEQ ID NO: 391) LPR-401 5′-agatcgacaacgcccgtc-3′ (SEQ ID NO: 399) LPR-402 5′-atcgacaacgcccgtctg-3′ (SEQ ID NO: 400) LPR-403 5′-atcgacaacgcccgt-3′ (SEQ ID NO: 401) LPR-404 5′-tcgacaacgcccgt-3′ (SEQ ID NO: 402) (Group B)

FIP: Base Sequences of Regions F1c and F2 Coupled FA1-EK 5′-ggagttctcaatggtggcaccaactactacacgaccatccagg-3′ (SEQ ID NO: 419) (Base sequences of SEQ ID NO: 345 and SEQ ID NO: 354 are coupled) RIP: Base Sequences of Regions R1c and R2 Coupled RA2-EK 5′-tgtcctgcagatcgacaacgccgtctcaaacttggttcgga-3′ (SEQ ID NO: 420) (Base sequences of SEQ ID NO: 363 and SEQ ID NO: 370 are coupled) RA6-EK 5′-gtcctgcagatcgacaacgcctccgtctcaaacttggttcg-3′ (SEQ ID NO: 421) (Base sequences of SEQ ID NO: 364 and SEQ ID NO: 371 are coupled) F3 primer: (identical sequence with base sequence of F3 region) F3-EK 5′-tggtaccagaagcagggg-3′ (SEQ ID NO: 358) R3 primer: (identical sequence with base sequence of R3 region) R3-EK 5′-gtggaggccgacatcaac-3′ (SEQ ID NO: 379) Loop primer: (identical sequence with base sequence of loop F region or loop R) LPF1-EK 5′-agaatcttgtcccgcagg-3′ (SEQ ID NO: 392) LPF2-EK 5′-gaatcttgtcccgcagg-3′ (SEQ ID NO: 393) LPR1-EK 5′-ccgtctggctgcaga-3′ (SEQ ID NO: 403) LPR2-EK 5′-cgtctggctgcagatga-3′ (SEQ ID NO: 404) LPR3-EK 5′-gtctggctgcagatgact-3′ (SEQ ID NO: 405) LPR4-EK 5′-tctggctgcagatgactt-3′ (SEQ ID NO: 406) (Group C)

FIP: Base Sequences of Regions F1c and F2 Coupled FA-1101 5′-ttggcccctcagcgtacaagagctggcctacctg-3′ (SEQ ID NO: 422) (Base sequences of SEQ ID NO: 346 and SEQ ID NO: 355 are coupled) RIP: Base Sequences of Regions R1c and R2 Coupled RA-1101 5′-aggtcagtgtggaggtggcgcatgtcactcaggatc-3′ (SEQ ID NO: 423) (Base sequences of SEQ ID NO: 365 and SEQ ID NO: 372 are coupled) F3 primer: (identical sequence with base sequence of F3 region) F3-1101 5′-acctggagatgcagatcg-3′ (SEQ ID NO: 359) R3 primer: (identical sequence with base sequence of R3 region) R3-1101 5′-caggcttcagcatccttc-3′ (SEQ ID NO: 380) Loop primer: (identical sequence with base sequence of loop F region or loop R) LPF-1100 5′-tgatttcctcctcatggttc-3′ (SEQ ID NO: 394) LPF-1102 5′-gatttcctcctcatggttct-3′ (SEQ ID NO: 395) LPF-1103 5′-tcctcctcatggttcttct-3′ (SEQ ID NO: 396) LPR-1101 5′-tccgggcaccgatctc-3′ (SEQ ID NO: 407) LPR-1102 5′-ggcaccgatctcgcca-3′ (SEQ ID NO: 408) LPR-1103 5′-gggcaccgatctcgc-3′ (SEQ ID NO: 409) LPR-1104 5′-gcaccgatctcgcca-3′ (SEQ ID NO: 410) (Group D)

FIP: Base Sequences of Regions F1c and F2 Coupled FA-601 5′-agcggaatccacctccacgaggaaatcagtacgctgag-3′ (SEQ ID NO: 424) (Base sequences of SEQ ID NO: 347 and SEQ ID NO: 356 are coupled) FA-602 5′-aatccacctccacactgaccgaggaaatcagtacgctgag-3′ (SEQ ID NO: 425) (Base sequences of SEQ ID NO: 348 and SEQ ID NO: 356 are coupled) FA-603 5′-atccacctccacactgaccgaggaaatcagtacgctgag-3′ (SEQ ID NO: 426) Base sequences of SEQ ID NO: 349 and SEQ ID NO: 359 are coupled) FA-604 5′-tccacctccacactgaccgaggaaatcagtacgctgag-3′ (SEQ ID NO: 427) (Base sequences of SEQ ID NO: 350 and SEQ ID NO: 356 are coupled) RIP: Base Sequences of Regions R1c and R2 Coupled RA-601 5′-tctcgccaagatcctgagtgcaggcttcagcatccttc-3′ (SEQ ID NO: 428) (Base sequences of SEQ ID NO: 366 and SEQ ID NO: 373 are coupled) RA-602 5′-tctcgccaagatcctgagtgggtgaaccaggcttcag-3′ (SEQ ID NO: 429) (Base sequences of SEQ ID NO: 366 and SEQ ID NO: 374 are coupled) RA-603 5′-tctcgccaagatcctgagtggtgaaccaggcttcagc-3′ (SEQ ID NO: 430) (Base sequences of SEQ ID NO: 366 and SEQ ID NO: 375 are coupled) RA-604 5′-tctcgccaagatcctgagtggaaccaggcttcagcatc-3′ (SEQ ID NO: 431) (Base sequences of SEQ ID NO: 366 and SEQ ID NO: 376 are coupled) RA-605 5′-tctcgccaagatcctgagtgaccaggcttcagcatcc-3′ (SEQ ID NO: 432) (Base sequences of SEQ ID NO: 366 and SEQ ID NO: 377 are coupled) RA-606 5′-tcgccaagatcctgagtgaccaggcttcagcatccttc-3′ (SEQ ID NO: 433) (Base sequences of SEQ ID NO: 367 and SEQ ID NO: 373 are coupled) RA-607 5′-agatcctgagtgacatgcgaagcaggcttcagcatccttc-3′ (SEQ ID NO: 434) (Base sequences of SEQ ID NO: 368 and SEQ ID NO: 373 are coupled) F3 primer: (identical sequence with base sequence of F3 region) F3-601 5′-aagagctggcctacctg-3′ (SEQ ID NO: 360) F3-602 5′-agctggcctacctgaag-3′ (SEQ ID NO: 361) R3 primer: (identical sequence with base sequence of R3 region) R3-601 5′-tcggacctgctcatctg-3′ (SEQ ID NO: 381) R3-602 5′-tcagtaacctcggacctg-3′ (SEQ ID NO: 382) R3-603 5′-agtaacctcggacctgc-3′ (SEQ ID NO: 383) R3-604 5′-taacctcggacctgctc-3′ (SEQ ID NO: 384) Loop primer: (identical sequence with base sequence of loop F region or loop R) LPF-601 5′-actgacctggcctccca-3′ (SEQ ID NO: 397) LPF-602 5′-cctcccacttggccc-3′ (SEQ ID NO: 398) LPR-601 5′-tcatggccgagcagaacc-3′ (SEQ ID NO: 411) LPR-602 5′-catggccgagcagaac-3′ (SEQ ID NO: 412)

Example 3-1 Selection of Region from Human CK20 Base Sequence

The base sequence of human CK20 represented by SEQ ID NO: 435 was searched for positions of appropriate regions for the LAMP method using a probe designing software. As a result of selecting regions according to the criteria that Tm 58.5-63.5° C. for F1c and R1c, Tm 61.5-62.5° C. for F2 and R2, Tm 58.5-62.5° C. for F3 and R3, the regions as shown below are selected. The selected regions are included in a region of base position 340-1050 of the base sequence represented by SEQ ID NO: 435 and a complementary strand region thereof.

F1c: Regions on complementary strand of base sequence represented by SEQ ID NO: 435

920-900 5′-ttcatgctgagatgggactgg-3′ (SEQ ID NO: 436) 915-895 5′-gctgagatgggactggagttc-3′ (SEQ ID NO: 437) 436-416 5′-caatttgcaggacacaccgag-3′ (SEQ ID NO: 438) F2: Regions on base sequence represented by SEQ ID NO: 435

847-865 5′-gaggttcaactaacggagc-3′ (SEQ ID NO: 439) 850-869 5′-gttcaactaacggagctgag-3′ (SEQ ID NO: 440) 855-872 5′-actaacggagctgagacg-3′ (SEQ ID NO: 441) 370-388 5′-attgaagagctgcgaagtc-3′ (SEQ ID NO: 442) F3: Regions on base sequence represented by SEQ ID NO: 435

345-367 5′-cgactacagtgcatattacagac-3′ (SEQ ID NO: 443) 805-822 5′-cagcaacaggtcacagtg-3′ (SEQ ID NO: 444) R1c: Regions on base sequence represented by SEQ ID NO: 435

940-958 5′-ctagaggagaccaaggccc-3′ (SEQ ID NO: 445) 939-958 5′-tctagaggagaccaaggccc-3′ (SEQ ID NO: 446) 947-966 5′-agaccaaggcccgttacagc-3′ (SEQ ID NO: 447) 452-472 5′-ctgctgaggacttcagactga-3′ (SEQ ID NO: 448) R2: Regions on complementary strand of base sequence represented by SEQ ID NO: 435

1004-987  5′-agagagctcaacagcgac-3′ (SEQ ID NO: 449) 1007-990  5′-tccagagagctcaacagc-3′ (SEQ ID NO: 450)  994-978 5′-acagcgactggaggttg-3′ (SEQ ID NO: 451) 1000-984 5′-agctcaacagcgactgg-3′ (SEQ ID NO: 452)  523-505 5′-cttggagatcagcttccac-3′ (SEQ ID NO: 453) R3: Regions on complementary strand of base sequence represented by SEQ ID NO: 435

 556-535 5′-gtagggttaggtcatcaaagac-3′ (SEQ ID NO: 454) 1044-1027 5′-gcgttccatgttactccg-3′ (SEQ ID NO: 455) Loof F: Regions on complementary strand of base sequence represented by SEQ ID NO: 435

409-389 5′-gcagttgagcatccttaatct-3′ (SEQ ID NO: 456) 891-875 5′-ctcaaggctctgggagg-3′ (SEQ ID NO: 457) Loop R: Regions on base sequence represented by SEQ ID NO: 435

480-499 5′-gactgagagaggaatacgtc-3′ (SEQ ID NO: 458) 968-985 5′-gccagttagccaacctcc-3′ (SEQ ID NO: 459) 970-985 5′-cagttagccaacctcc-3′ (SEQ ID NO: 460)

Example 3-2 Designing of Primer for Detecting CK20

From the sequences of the regions selected in Example 3-1, the following primers for nucleic acid amplification to be applied to the LAMP method were obtained.

FIP: Base Sequences of Regions F1c and F2 Coupled

KFA-5 5′-ttcatgctgagatgggactgggaggttcaactaacggagc-3′ (SEQ ID NO: 461) (Base sequences of SEQ ID NO: 436 and SEQ ID NO: 439 are coupled) KFA-5a 5′-ttcatgctgagatgggactgggttcaactaacggagctgag-3′ (SEQ ID NO: 462) (Base sequences of SEQ ID NO: 436 and SEQ ID NO: 440 are coupled) KFA-5b 5′-ttcatgctgagatgggactggactaacggagctgagacg-3′ (SEQ ID NO: 463) (Base sequences of SEQ ID NO: 436 and SEQ ID NO: 441 are coupled) KFA-5d 5′-gctgagatgggactggagttcgaggttcaactaacggagc-3′ (SEQ ID NO: 464) (Base sequences of SEQ ID NO: 437 and SEQ ID NO: 439 are coupled) KFA-5e 5′-gctgagatgggactggagttcgttcaactaacggagctgag-3′ (SEQ ID NO: 465) (Base sequences of SEQ ID NO: 437 and SEQ ID NO: 440 are coupled) KFA-5f 5′-gctgagatgggactggagttcactaacggagctgagacg-3′ (SEQ ID NO: 466) (Base sequences of SEQ ID NO: 437 and SEQ ID NO: 441 are coupled) AFA 5′-caatttgcaggacacaccgagattgaagagctgcgaagtc-3′ (SEQ ID NO: 467) (Base sequences of SEQ ID NO: 438 and SEQ ID NO: 442 are coupled) RIP: Base Sequences of Regions R1c and R2 Coupled RIP: Base Sequences of Regions R1c and R2 Coupled

KRA-5 5′-ctagaggagaccaaggcccagagagctcaacagcgac-3′ (SEQ ID NO: 468) (Base sequences of SEQ ID NO: 445 and SEQ ID NO: 449 are coupled) KRA-5a 5′-tctagaggagaccaaggccctccagagagctcaacagc-3′ (SEQ ID NO: 469) (Base sequences of SEQ ID NO: 446 and SEQ ID NO: 450 are coupled) KRA-5c 5′-tctagaggagaccaaggcccacagcgactggaggttg-3′ (SEQ ID NO: 470) (Base sequences of SEQ ID NO: 446 and SEQ ID NO: 451 are coupled) KRA-5d 5′-agaccaaggcccgttacagcagagagctcaacagcgac-3′ (SEQ ID NO: 471) (Base sequences of SEQ ID NO: 447 and SEQ ID NO: 449 are coupled) KRA-5e 5′-agaccaaggcccgttacagctccagagagctcaacagc-3′ (SEQ ID NO: 472) (Base sequences of SEQ ID NO: 447 and SEQ ID NO: 450 are coupled) KRA-5f 5′-agac caaggcccgttacagcagctcaacagcgactgg-3′ (SEQ ID NO: 473) (Base sequences of SEQ ID NO: 447 and SEQ ID NO: 452 are coupled) ARAf 5′-ctgctgaggacttcagactgacttggagatcagcttccac-3′ (SEQ ID NO: 474) (Base sequences of SEQ ID NO: 448 and SEQ ID NO: 453 are coupled) F3 primer: (identical sequence with base sequence of F3 region)

AF3 5′-cgactacagtgcatattacagac-3′ (SEQ ID NO: 443) KF3-5 5′-cagcaacaggtcacagtg-3′ (SEQ ID NO: 444) R3 primer: (identical sequence with base sequence of R3 region)

AR3 5′-gtagggttaggtcatcaaagac-3′ (SEQ ID NO: 454) KR3-5 5′-gcgttccatgttactccg-3′ (SEQ ID NO: 455) Loop primer: (identical sequence with base sequence of loop F region or loop R)

LPF2 5′-gcagttgagcatccttaatct-3′ (SEQ ID NO: 456) K-LPF2 5′-ctcaaggctctgggagg-3′ (SEQ ID NO: 457) LPR6 5′-gactgagagaggaatacgtc-3′ (SEQ ID NO: 458) K-LPR1 5′-gccagttagccaacctcc-3′ (SEQ ID NO: 459) K-LPR2 5′-cagttagccaacctcc-3′ (SEQ ID NO: 460)

TEST EXAMPLES

Effects obtained when the RT-LAMP method is executed using different primers for detecting CK18, CK19 or CK20 obtained above were measured and determined according to the Test examples 1 to 3.

Test Example 1-1 Observation of Amplification

This test was conducted in order to examine the time required from starting of the reaction until amplification could be observed in each case the measurement was conducted by RT-LAMP method using the following combination of various primers for detecting human CK18.

1) Method for Preparing Human CK18RNA Sample

By conducting RT-PCR using a primer designed based on a base sequence of human CK18, human CK18cDNA was isolated from total RNA derived from KATOIII (stomach cancer cell). From human CK18cDNA cloned into pBluescript (plasmid manufactured by STRATAGENE), a transcription product was synthesized using in vitro transcription system (Riboprobe in vitro transcription system (manufactured by Promega)). RNA concentration of the undiluted solution thus obtained was determined by measuring absorbance at 260 nm, and based on the result, the solution was diluted in 50 ng/μl yeast RNA (manufactured by Ambion) so that the copy numbers of RNA of human CK18 were 60000, 6000, 600, 60, 6 and 0 (control), which were used as template solutions.

2) Primer Set for Detecting Human CK18

A variety of primers were used in the combinations as shown in Table 1.

TABLE 1 Primer set Primer set I II III IV FIP 234 252 259 278 RIP 287 297 307 332 F3 primer 66 68 72 79 R3 primer 179 182 184 193 Loop primer 203 211 212 214 (loop F) Loop primer 220 223 226 228 (loop R) (Each number represents SEQ ID number, and each primer means a primer comprising a sequence represented by each SEQ ID number.) 3) Composition of Reaction Solution

dNTPs (manufactured by GIBCO) 0.4 mM MgSO₄ 2 mM Dithiothreitol 5 mM Betaine (manufactured by Sigma) 640 mM Thermopol buffer (manufactured by New England BioLabs) AMV reverse transcriptase (manufactured by Promega) 1.25 U Bst DNA polymerase (manufactured by New 16 U England BioLabs) Ethidium bromide 0.125 mg/mL Primer FIP 40 pmol, RIP 40 pmol, F3 primer  5 pmol, R3 primer  5 pmol, Loop primer (loop F, loop R) each 20 pmol 4) RT-LAMP Method

To 23 μl of reaction solution containing the above six kinds of primers, 2 μl of RNA sample of human CK18 was added, and heated at 65° C. for one hour.

5) Observation of Amplification

Since the amplified product has a double-strand structure, ethidium bromide intercalates into the double-strand structure to emit fluorescent. Increase in fluorescence intensity (Rn) was measured in real time by using PRISM 7700 manufactured by ABI.

6) Results

Results of the cases where Primer sets I to IV were respectively used are shown in FIGS. 1 to 4. These results show that the larger the amount of the template of human CK18, the shorter the time required until amplification can be observed in every set. In Primer sets I and III, amplification was observed in 20 minutes even in the case of 600 copies, while in Primer set II, amplification was observed after about 20 minutes in the case of 6000 copies. As for Primer set IV, amplification was observed after about 20 minutes in the case of 6000 copies, and after about 30 minutes even in the case of 600 copies.

Test Example 1-2 Effect of Loop Primer

Among Primer sets considered in Test example 1-1, Primer set I in which the time required for observation of amplification was shortest was selected, and a test was made in order to examine the sensitivity in presence/absence of a loop primer.

1) Method for Preparing Human CK18RNA Sample

Samples having copy numbers of 60000, 6000, 600 and 0 (control) were prepared in a similar manner as described in Test example 1-1.

2) Primer Set

Primer set I shown in Table 1, and a primer set excluding each loop primer from Primer set I were used.

3) Composition of Reaction Solution

A reaction solution similar to that of Test example 1-1 was used, and as to the set excluding loop primer, any loop primer was not added.

4) RT-LAMP Method

To 23 μl of reaction solution containing six or four kinds of primers, 2 μl of RNA sample of human CK18 was added, and heated at 65° C. for one hour.

5) Observation of Amplification

Measurement was conducted in real time in a similar manner with Test example 1-1.

6) Results

Results of determination are shown in FIGS. 5 and 6. These results show that the time required until amplification can be observed was shorter in the case where a loop primer was not used. However, even in the case where a loop primer was used, amplification of human CK18 was observed after about 50 minutes even in the case of 60000 copies.

Example 1-3 Amplification Specificity to Human CK18

Amplification specificity to human CK18 when measurement was conducted using Primer set I was examined. It is known that cytokeratins (CK) have isoforms such as human CK19, 20 and the like besides human CK18. These isoforms comprises a base sequence having about 60% homology with human CK18. This test was conducted for determining whether human CK18 could be tested distinguishably from human CK19 or 20 when measurement was conducted by using the above primer sets.

1) Method for Preparing RNA Sample

An RNA sample of human CK18 having a copy number of 60000 was prepared in a similar manner as described in Test example 1-1. Also with regard to RNAs of human CK19 and human CK20, samples were prepared in a similar manner.

2) Primer Set

Primer set I shown in Table 1 was used.

3) Composition of Reaction Solution

A reaction solution similar to that of Test example 1-1 was used.

4) RT-LAMP Method

The similar condition as described in Test example 1 was used.

5) Observation of Amplification

Measurement was conducted in real time in a similar manner with Test example 1-1.

6) Results

Results are shown in FIG. 7. These results show that human CK18RNA, but absolutely not human CK19RNA and human CK20RNA are amplified when Primer set I was used, revealing specificity of Primer set I to human CK18RNA.

Test Example 2-1 Effect of Primer Sets (Group A) for Detecting Human CK19

This test was conducted in order to examine an amplification pattern when RNA of human CK19 was measured by the RT-LAMP method using a primer set selected from Group A shown in Example 2-2.

1) Primer Set (Group A)

Examination was carried out using a primer set consisting of FIP: FA-401 (SEQ ID NO: 413), RIP: RA-401 (SEQ ID NO: 418), F3: F3-401 (SEQ ID NO: 357), and R3: R3-401 (SEQ ID NO: 378), and a primer set in combination with various loop primers: LPF-401 (SEQ ID NO: 385) and LPR-401 (SEQ ID NO: 399), LPF-401 (SEQ ID NO: 385) and LPR-402 (SEQ ID NO: 400), LPF-401 (SEQ ID NO: 385) and LPR-403 (SEQ ID NO: 401), or LPF-401 (SEQ ID NO: 385) and LPR-404 (SEQ ID NO: 402).

2) Method for Preparing Human CK19RNA

By conducting RT-PCR using a primer designed based on a base sequence of human CK19, human CK19cDNA was isolated from total RNA derived from KATOIII (stomach cancer cell). From human CK19cDNA cloned into pBluescript (plasmid manufactured by STRATAGENE), a transcription product was synthesized using in vitro transcription system (Riboprobe in vitro transcription system (manufactured by Promega)). RNA concentration of the undiluted solution thus obtained was determined by measuring absorbance at 260 nm, and based on the result, the solution was diluted in 50 ng/μl yeast RNA (manufactured by Ambion) so that the copy number of RNA of human CK19 was 60000, 6000, 600, 60, 6 and 0 (control), which were used as template solutions.

3) Composition of Reaction Solution

A reaction solution similar to that of Test example 1-1 was used, and as to the set excluding loop primer, a loop primer was not added.

4) RT-LAMP Method

To 23 μl of reaction solution containing four kinds of primers not including loop primers or containing six kinds of primers including loop primers, 2 μl of RNA sample of human CK19 was added, and heated at 65° C. for one hour.

5) Observation of Amplification

Measurement was conducted in real time in a similar manner with Test example 1-1.

6) Results

Results obtained for the primer set not including loop primers and the primer set including various loop primers are shown in FIGS. 8 to 12. These results show that the time required until amplification can be observed was about 40 minutes after starting the test when loop primers are not used. On the other hand, as shown in FIGS. 9 to 12, in the case of the systems including loop primers, amplification could be observed at about between 10 minutes and 20 minutes.

Test Example 2-2 Effect of Primer Sets (Group C) for Detecting Human CK19

This test was conducted in order to examine an amplification pattern when RNA of human CK19 was measured by the RT-LAMP method using a primer set selected from Group A shown in Example 2-2.

1) Primer Set (Group C)

Examination was carried out using a primer set consisting of FIP: FA-1101 (SEQ ID NO: 422), RIP: RA-1101 (SEQ ID NO: 423), F3: F3-1101 (SEQ ID NO: 359) and R3: R3-1101 (SEQ ID NO: 380), and a primer set in combination with various loop primers: LPF-1101 (SEQ ID NO: 394) and LPR-1101 (SEQ ID NO: 407), LPF-1101 (SEQ ID NO: 394) and LPR-1102 (SEQ ID NO: 408), LPF-1101 (SEQ ID NO: 394) and LPR-1103 (SEQ ID NO: 409), LPF-1101 (SEQ ID NO: 394) and LPR-1104 (SEQ ID NO: 410), LPF-1102 (SEQ ID NO: 395) and LPR-1101 (SEQ ID NO: 407), or LPF-1103 (SEQ ID NO: 396) and LPR-1101 (SEQ ID NO: 407).

2) Preparation of Human CK19RNA Sample

Following the operation as shown in Test example 2-1, samples were prepared so that the copy numbers were 60000, 6000, 600, 60 and 0 (control), respectively.

3) Composition of Reaction Solution, 4) RT-LAMP Method and 5) Observation of Amplification were Conducted in a Similar Manner as Test Example 2-1.

6) Results

Results obtained for the primer set not including loop primers and the primer set including various loop primers are shown in FIGS. 13 to 19. These results show that when loop primers are not used, the time required until amplification can be observed was about 30 minutes after starting the test (FIG. 13). On the other hand, in the systems using loop primers, amplification could be observed at about between 10 minutes and 20 minutes, when combined with LPF-1101 (SEQ ID NO: 394) and LPR-1101 (SEQ ID NO: 407) (FIG. 14), LPF-1101 (SEQ ID NO: 394) and LPR-1102 (SEQ ID NO: 408) (FIG. 15), LPF-1101 (SEQ ID NO: 394) and LPR-1104 (SEQ ID NO: 410) (FIG. 17), LPF-1102 (SEQ ID NO: 395) and LPR-1101 (SEQ ID NO: 407) (FIG. 18) or LPF-1103 (SEQ ID NO: 396) and LPR-1101 (SEQ ID NO: 407) (FIG. 19). When combined with LPF-1101 (SEQ ID NO: 394) and LPR-1103 (SEQ ID NO: 409) (FIG. 16), amplification could be observed at about 20 minutes

Test Example 2-3 Effect of Primer Sets (Group D) for Detecting Human CK19

This test was conducted in order to examine an amplification pattern when RNA of human CK19 was measured by the RT-LAMP method using a primer set selected from Group D shown in Example 2-2.

1) Primer Set (Group D)

Examination was carried out using a primer set consisting of FIP: FA-601 (SEQ ID NO: 424), RIP: RA-604 (SEQ ID NO: 431), F3: F3-601 (SEQ ID NO: 360) and R3: R3-601 (SEQ ID NO: 381), and a primer set in combination with various loop primers: LPF-601 (SEQ ID NO: 397) and LPR-601 (SEQ ID NO: 411).

2) Preparation of Human CK19RNA Sample

Following the operation as shown in Test example 2-1, samples were prepared so that the copy numbers were 60000, 6000, 600, 60 and 0 (control), respectively.

3) Composition of Reaction Solution, 4) RT-LAMP Method and 5) Observation of Amplification were Conducted in a Similar Manner as Test Example 2-1.

6) Results

Results obtained for the primer set not including loop primers and the primer set including various loop primers are shown in FIG. 20 and FIG. 21, respectively. These results show that when loop primers are not used, the time required until amplification of nucleic acid can be observed was about 70 minutes. Additionally, even for the copy number of 0, non-specific amplification was observed, suggesting slightly low specificity. On the other hand, when loop primers were used, amplification could be observed at about 20 minutes, and non-specific amplification was not observed for the copy number of 0. Specificity was improved by the use of loop primers.

Test Example 2-4 Measurement Sensitivity

This test was conducted in order to examine the sensitivity of measurement for human CK19RNA when the measurement was conducted using each primer set selected from the Group A, C and D shown in Test examples 2-1 to 2-3, or a primer set selected from Group B.

A group: FIP: FA-401 (SEQ ID NO: 413), RIP: RA-401 (SEQ ID NO: 418), F3: F3-401 (SEQ ID NO: 357), R3: R3-401 (SEQ ID NO: 378),

Loop primer: LPF-401 (SEQ ID NO: 385), LPR-404 (SEQ ID NO: 402)

B group: FIP: FAl-EK (SEQ ID NO: 419), RIP: RA6-EK (SEQ ID NO: 421), F3: F3-EK (SEQ ID NO: 358), R3: R3-EK (SEQ ID NO: 379),

Loop primer: LPF1-EK (SEQ ID NO: 392), LPR2-EK (SEQ ID NO: 404)

C group: FIP: FA-1101 (SEQ ID NO: 422), RIP: RA-1101 (SEQ ID NO: 423), F3: F3-1101 (SEQ ID NO: 359), R3: R3-1101 (SEQ ID NO: 380),

Loop primer: LPF-1101 (SEQ ID NO: 394), LPR-1101 (SEQ ID NO: 407)

D group: FIP: FA-601 (SEQ ID NO: 424), RIP: RA-604 (SEQ ID NO: 431), F3: F3-601 (SEQ ID NO: 360), R3: R3-601 (SEQ ID NO: 381),

Loop primer: LPF-601 (SEQ ID NO: 397), LPR-601 (SEQ ID NO: 411)

2) Preparation of Human CK19RNA Sample

Following the operation as shown in Test example 2-1, samples were prepared so that the copy numbers were 60000, 20000, 6000, 2000, 600, 200, 60, 20 and 0 (control), respectively.

3) Composition of Reaction Solution, 4) RT-LAMP Method and 5) Observation of Amplification were Conducted in a Similar Manner as Test Example 2-1.

6) Results

Results are shown in FIGS. 22 to 25. These results show that in every group of primer set, the larger the number of copies, the shorter the timer required until amplification of nucleic acid can be observed, and amplification was observed at about 15 to 25 minutes when the copy number was 60000. As for Group A, amplification was observed at 20 to 30 minutes when the copy number was 200 or more (FIG. 22); as for Group B, amplification was observed at 15 to 20 minutes when the copy number was 200 or more (FIG. 23), as for Group C, amplification was observed at 15 to 25 minutes when the copy number was 600 or more (FIG. 24); and as for Group D, amplification was observed at 25 to 35 minutes when the copy number was 200 or more (FIG. 25).

Test Example 2-5 Amplification Specificity to Human CK19RNA

Amplification specificity to human CK19RNA was examined when measurement was conducted using each primer set shown in Test example 2-4. It is known that cytokeratins (CK) have isoforms such as human CK18, 20 and the like besides human CK19. These isoforms comprises a base sequence having about 60% homology with human CK19. This test was conducted for determining whether human CK19 could be tested distinguishably from human CK18 or 20 when measurement was conducted by using the above primer sets.

1) Primer Set

Examination was made for the same primer sets as used in Test example 2-4.

2) Preparation of RNA Sample

Human CK19RNA samples were prepared so that the copy numbers were 60000, 6000, 600 and 0 (control) by conducting operation similar to that of Test example 2-1. As to RNAs of human CK18 and human CK20, samples were prepared in a similar manner so that the respective copy numbers were 60000.

3) Composition of Reaction Solution, 4) RT-LAMP Method and 5) Observation of Amplification were Conducted in a Similar Manner as Test Example 2-1.

6) Results

FIGS. 26 to 29 show results using each primer set shown in Test example 2-4. These results show that human CK19RNA, but absolutely not human CK18RNA and human CK20RNA are amplified when any group of primer set is used.

Test Example 2-6 Observation of Amplification with Respect to Human CK19RNA (Measurement of Turbidity)

1) Primer Set (Group C)

Examination was made for a primer set using FIP:FA-1101 (SEQ ID NO: 422), RIP:RA-1101 (SEQ ID NO: 423), F3:F3-1101 (SEQ ID NO: 359), R3:R3-1101 (SEQ ID NO: 380) and loop primers: LPF-1101 (SEQ ID NO: 394) and LPR-1101 (SEQ ID NO: 407) in combination.

2) Preparation of Human CK19RNA Sample

Samples were prepared so that the copy numbers were 100000, 10000, 1000 and 0 (control) by conducting operation similar to that of Test example 2-1.

3) Composition of Reaction Solution

dNTPs (manufactured by GIBCO) 0.4 mM MgSO₄ 2 mM Dithiothreitol 5 mM Betaine) (manufactured by Sigma) 640 mM Thermopol buffer (manufactured by New England BioLabs) AMV reverse transcriptase (manufactured by Promega) 1.25 U Bst DNA polymerase (manufactured by New 16 U England BioLabs) Tergitol (manufactured by Sigma) 1% Primer FIP 40 pmol, RIP 40 pmol, F3 primer  5 pmol, R3 primer  5 pmol, Loop primer(loop F, loop R) each 20 pmol Tris HCl(pH 8) 60 mM 4) RT-LAMP Method was Conducted in the Manner as Described in Test Example 2-1. The Reaction was Allowed for 1.5 Hour in a 0.2 mL Tube at 65° C. 5) Observation of Amplification

Turbidity of the RT-LAMP reaction was determined over time from absorbance at a wavelength of 500 nm. As a measuring machine, LA-200 manufactured by Teramecs was used.

6) Results

Results are shown in FIG. 30. Depending on the copy number of template, starting of amplification was observed between 11 and 13 minutes after starting the measurement.

Test Example 2-7 Observation of Amplification with Respect to Human CK19RNA (Measurement of Turbidity)

1) Primer Set (Group C)

Examination was made for a primer set using FIP:FA-1101 (SEQ ID NO: 422), RIP:RA-1101 (SEQ ID NO: 423), F3:F3-1101 (SEQ ID NO: 359), R3:R3-1101 (SEQ ID NO: 380) and loop primers: LPF-1101 (SEQ ID NO: 394) and LPR-1101 (SEQ ID NO: 407) in combination, and for the primer set added with RNase inhibiter.

2) Preparation of Human CK19RNA Sample

Samples were prepared so that the copy numbers were 100000, 10000, 1000 and 0 (control) by conducting operation similar to that of Test example 2-1.

3) Composition of Reaction Solution

A reaction solution having a similar composition as that of Test example 2-6 was used except that 25 U of RNase Inhibitor (manufactured by TOYOBO) was added.

4) RT-LAMP Method and 5) Observation of Amplification were Conducted in a Similar Manner as Test Example 2-6.

6) Results

Results are shown in FIG. 31. Depending on the copy number of template, starting of amplification was observed between 10 and 12 minutes after starting the measurement. By adding RNase inhibitor, influence of substances that inhibit amplification reaction was reduced, so that the time required until amplification can be observed was reduce.

Test Example 3-1

This test was conducted in order to examine the time required until amplification could be observed from the starting of the reaction for each primer set, measured by the RT-LAMP method using the following combinations of primers from the various primers shown in Example 3-2.

1) Method for Preparing Human CK20 RNA Sample

By conducting RT-PCR using a primer designed based on a base sequence of human CK20, human CK20cDNA was isolated from total RNA derived from KATOIII (stomach cancer cell). From human CK20cDNA cloned into pBluescript (plasmid manufactured by STRATAGENE), a transcription product was synthesized using in vitro transcription system (Riboprobe in vitro transcription system (manufactured by Promega)). RNA concentration of the undiluted solution thus obtained was determined by measuring absorbance at 260 nm, and based on the result, the solution was diluted in 50 ng/μl yeast RNA (manufactured by Ambion) so that the copy number of RNA of human CK20 was 600000, which were used as template solutions.

2) Primer Set

A variety of primers were used in the combinations as shown in Table 2.

TABLE 2 Primer set and time required until amplification can be observed FIP RIP F3 primer R3 primer Time (min) KFA-5 KRA-5 KF3-5 KR3-5 25 SEQ ID NO: 461 SEQ ID NO: 468 SEQ ID NO: 444 SEQ ID NO: 455 KFA-5a KRA-5 KF3-5 KR3-5 26 SEQ ID NO: 462 SEQ ID NO: 468 SEQ ID NO: 444 SEQ ID NO: 455 KFA-5b KRA-5 KF3-5 KR3-5 23 SEQ ID NO: 463 SEQ ID NO: 468 SEQ ID NO: 444 SEQ ID NO: 455 KFA-5d KRA-5 KF3-5 KR3-5 26 SEQ ID NO: 464 SEQ ID NO: 468 SEQ ID NO: 444 SEQ ID NO: 455 KFA-5e KRA-5 KF3-5 KR3-5 25 SEQ ID NO: 465 SEQ ID NO: 468 SEQ ID NO: 444 SEQ ID NO: 455 KFA-5f KRA-5 KF3-5 KR3-5 24 SEQ ID NO: 466 SEQ ID NO: 468 SEQ ID NO: 444 SEQ ID NO: 455 KFA-5 KRA-5a KF3-5 KR3-5 30 SEQ ID NO: 461 SEQ ID NO: 469 SEQ ID NO: 444 SEQ ID NO: 455 KFA-5 KRA-5c KF3-5 KR3-5 35 SEQ ID NO: 461 SEQ ID NO: 470 SEQ ID NO: 444 SEQ ID NO: 455 KFA-5 KRA-5d KF3-5 KR3-5 30 SEQ ID NO: 461 SEQ ID NO: 471 SEQ ID NO: 444 SEQ ID NO: 455 KFA-5 KRA-5e KF3-5 KR3-5 36 SEQ ID NO: 461 SEQ ID NO: 472 SEQ ID NO: 444 SEQ ID NO: 455 KFA-5 KRA-5f KF3-5 KR3-5 40 SEQ ID NO: 461 SEQ ID NO: 473 SEQ ID NO: 444 SEQ ID NO: 455 3) Composition of Reaction Solution

A similar composition with that of Test example 1-1 was used, and loop primers were not added.

4) RT-LAMP Method

To 23 μl of reaction solution containing the above four of primers, 2 μl of RNA sample of human CK20 was added, and heated at 65° C. for one hour.

5) Observation of Amplification

Measurement was conducted in real time in a similar manner with Test example 1-1.

6) Results

The time required until amplification could be observed when reaction was conducted using each primer set is shown in Table 2. These results show that the maximum time is 40 minutes and amplification was confirmed in 30 minutes in most of the primer sets.

Test Example 3-2

This test was conducted in order to examine the sensitivity when measurement by RT-LAMP method was conducted using a primer set requiring a short time for observation of amplification selected from the primer sets examined in Test example 3-1, and using a primer set combined with loop primers.

1) Method for Preparing Human CK20RNA Sample

Samples were prepared so that the copy numbers were 0, 190, 960, 4800, 24000, 120000, 600000 respectively by conducting a similar operation as Test example 3-1.

2) Primer Set

Examination was made for the primer sets of following combinations.

-   -   Set 1: FIP (KFA-5b; SEQ ID NO: 463), RIP (KRA-5; SEQ ID NO: 468)         -   F3 primer (KF3-5; SEQ ID NO: 444), R3 primer (KR3-5; SEQ ID             NO: 455)         -   Loop primers (K-LPF2; SEQ ID NO: 457), LK-LPR1; SEQ ID NO:             459)     -   Set 2: FIP (KFA-5b; SEQ ID NO: 463), RIP (KRA-5; SEQ ID NO: 468)         -   F3 primer (KF3-5; SEQ ID NO: 444), R3 primer (KR3-5; SEQ ID             NO: 455)         -   Loop primers (K-LPF2; SEQ ID NO: 457), LK-LPR2; SEQ ID NO:             459)             3) Composition of Reaction Solution

A similar composition with that of Test example 1-1 was used.

4) RT-LAMP Method and 5) Observation of Amplification were Conducted in a Similar Manner as Test Example 3-1.

6) Results

The examination result as to Primer set 1 is shown in FIG. 32. The result shows that the larger the amount of template of human CK20RNA, the shorter the time required until amplification can be observed. However, even in the case where the amount of template was 190 copies, DNA amplification was observed in 30 minutes, and even in the case where the amount of template was 600000 copies, DNA amplification was observed at about 10 minutes. A similar result was obtained for the case of Primer set 2.

Test Example 3-3 Amplification Specificity to Human CK20RNA

Amplification specificity to human CK20 when measurement was conducted using the primer sets selected in Test example 3-2 was examined. It is known that cytokeratins (CK) have isoforms such as human CK18, 19 and the like besides human CK20. These isoforms comprises a base sequence having about 60% homology with human CK20. This test was conducted for determining whether human CK20 could be tested distinguishably from human CK18 or 19 when measurement was conducted by using primer sets according to the present invention.

1) Method for Preparing RNA Sample

An RNA sample of human CK20 having a copy number of 600000 was prepared in a similar manner as described in Test example 3-1. Also as to RNAs of human CK18 and human CK19, samples were prepared in a similar manner.

2) Primer Set

Primer sets 1 and 2 selected in Test example 3-2 were used.

3) Composition of Reaction Solution, 4) RT-LAMP Method, and 5) Observation of Amplification were Conducted in a Similar Manner as Test Example 3-2.

6) Results

An examination result as to Primer set 1 is shown in FIG. 33. The result shows that human CK20RNA, but absolutely not human CK18RNA and human CK19RNA are amplified when Primer set 1 is used, revealing specificity to human CK20RNA. A similar result was obtained for the case of Primer set 2.

Test Example 3-4 Measurement Sensitivity

This test was conducted in order to examine the sensitivity of measurement for human CK20RNA when the measurement was conducted using each primer set.

1) Method for Preparing Human CK20RNA Sample

Samples were prepared so that the copy numbers were 0, 190, 960, 4800, 24000, 120000, 600000 respectively by conducting a similar operation as Test example 3-1.

2) Primer Set

Examination was made for the primer set of following combination.

Set 3: FIP (AFA; SEQ ID NO: 467), RIP (ARAf; SEQ ID NO: 474), F3 primer (AF3; SEQ ID NO: 443), R3 primer (AR3; SEQ ID NO: 454)

Loop primers (LPF2; SEQ ID NO: 393), (LPR6; SEQ ID NO: 458)

3) Composition of Reaction Solution, 4) RT-LAMP Method and 5) Observation of Amplification were Conducted in a Similar Manner as Test Example 3-2.

6) Results

The examination results are shown in FIG. 34. The results show that the larger the amount of template of human CK20RNA, the shorter the time required until amplification can be observed. However, even in the case where the amount of template was 190 copies, DNA amplification was observed in 30 minutes, and even in the case where the amount of template was 600000 copies, DNA amplification was observed at about 10 minutes.

Test Example 3-5

This test was conducted in order to examine amplification specificity to human CK20RNA when measurement was conducted using the primer set selected in Test example 3-4.

1) Method for Preparing RNA Sample

An RNA sample of human CK20 was prepared so that the copy number was 600000. RNA samples of human CK18 and human CK19 were also prepared in a similar manner.

2) Primer Set

The primer set (Set 3) selected in Test example 3-4 was selected.

3) Composition of Reaction Solution, 4) RT-LAMP Method and 5) Observation of Amplification were Conducted in a Similar Manner as Test Example 3-2.

6) Results

The results are shown in FIG. 35. These results show that human CK20RNA, but absolutely not human CK18RNA and human CK19RNA are amplified by the selected primer set.

INDUSTRIAL APPLICABILITY

As described above, it was found that when the LAMP method is conducted using a primer or a primer set of the present invention, human CK18RNA, CK19RNA and CK20RNA can be amplified with efficiency and specificity. According to this finding, primers of the present invention enable detection of human CK18RNA, CK19RNA and CK20RNA in short time, and reduction of time required for diagnosis of cancer metastasis to lymph nodes using nucleic acid amplifying means. 

1. A primer set for loop-mediated isothermal polymerase chain reaction to detect Cytokeratin 19, comprising first, second, third, and fourth primers, wherein the first primer onsists of the nucleotide sequence set forth in SEQ ID NO. 419, the second primer consists of the nucleotide sequence set forth in SEQ ID NO. 421, the third primer consists of the nucleotide sequence set forth in SEQ ID NO. 358, and the fourth primer consists of the nucleotide sequence complementary to SEQ ID NO.
 379. 2. The primer set of claim 1, further comprising fifth and sixth primers, wherein the fifth primer consists of the nucleotide sequence set forth in SEQ ID NO. 392, and the sixth primer consists the nucleotide sequence set forth in SEQ ID NO.
 406. 3. A reagent for loop-mediated isothermal polymerase chain reaction to detect Cytokeratin 19, comprising a buffer and the primer set of claim
 1. 4. A reagent for loop-mediated isothermal polymerase chain reaction to detect Cytokeratin 19, comprising a buffer and the primer set of claim
 2. 5. A method for diagnosing cancer metastasis to a lymph node by detecting cytokeratin 19 mRNA in a lymph node sample, comprising the steps of: providing RNA extracted from a patient's lymph node; synthesizing cDNA in the presence of a reverse transcriptase activity, amplifying cytokeratin 19 cDNA in the presence of the primer set of claim 1 by loop-mediated isothermal polymerase chain reaction, wherein detection of cytokeratin 19 cDNA amplification indicates cancer metastasis to said lymph node.
 6. The method according to claim 5, wherein a patient's biopsied lymph node is tested for cytokeratin 19 expression before completion of surgery on the patient. 